Total Family Care, Pc | |
3700 Bellemeade Ave Suite 119 Evansville IN 47714-0106 | |
(812) 479-3834 | |
(812) 479-3835 |
Full Name | Total Family Care, Pc |
---|---|
Speciality | Family Medicine |
Location | 3700 Bellemeade Ave, Evansville, Indiana |
Authorized Official Name and Position | Jon M Hall (OWNER) |
Authorized Official Contact | 8124793834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Family Care, Pc Po Box 5225 Evansville IN 47716-5225 Ph: (812) 479-3834 | Total Family Care, Pc 3700 Bellemeade Ave Suite 119 Evansville IN 47714-0106 Ph: (812) 479-3834 |
NPI Number | 1174746127 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174746127 | NPI | - | NPPES |
000000195479 | Other | IN | BCBS PIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01050887A (Indiana) | Primary |
207Q00000X | Family Medicine | 35496 (Kentucky) | Secondary |
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