| The Otis R Bowen Center For Human Services, Inc. | |
|
2219 Dubois Dr Warsaw IN 46580-3212 | |
| (800) 342-5653 | |
| Not Available |
| Full Name | The Otis R Bowen Center For Human Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2219 Dubois Dr, Warsaw, Indiana |
| Authorized Official Name and Position | Jay Baumgartner (CFO) |
| Authorized Official Contact | 5742677169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Otis R Bowen Center For Human Services, Inc. 2621 E Jefferson St Warsaw IN 46580-3880 Ph: () - | The Otis R Bowen Center For Human Services, Inc. 2219 Dubois Dr Warsaw IN 46580-3212 Ph: (800) 342-5653 |
| NPI Number | 1023668183 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 01/12/2021 |
| Medicare PECOS PAC ID | 7618950965 |
|---|---|
| Medicare Enrollment ID | O20210506002939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023668183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provident Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Provident Dr, Suite B, Warsaw, IN 46580 Phone: 574-372-5823 | |
Warsaw Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Provident Dr, Warsaw, IN 46580 Phone: 574-372-5868 Fax: 574-372-5867 | |
Medstat Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 | |
Legacy Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 260-615-2585 | |
Kosciusko Family Healthcare, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Clinic Of R L Ohalloran Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-2705 |