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542 N 3rd St Montgomery IN 47558-5745 | |
| (812) 486-2842 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 542 N 3rd St, Montgomery, Indiana |
| Authorized Official Name and Position | Chastity Lynne Fox (PFS SUPERVISOR) |
| Authorized Official Contact | 8122548620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 760 Washington IN 47501-0760 Ph: (812) 254-2760 | 542 N 3rd St Montgomery IN 47558-5745 Ph: (812) 486-2842 |
| NPI Number | 1336959279 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336959279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Montgomery Medical Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 542 N 3rd St, Montgomery, IN 47558 Phone: 812-486-2842 | |
Prairie Creek Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 216, Montgomery, IN 47558 Phone: 812-687-7263 Fax: 812-687-7264 | |