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502 High St Logansport IN 46947-2766 | |
(574) 732-2552 | |
(574) 732-0046 |
Full Name | |
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Speciality | Clinic/center |
Location | 502 High St, Logansport, Indiana |
Authorized Official Name and Position | Heather Dawson (DIR OF BILLING) |
Authorized Official Contact | 7654465417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 446-5417 | 502 High St Logansport IN 46947-2766 Ph: (574) 732-2552 |
NPI Number | 1033765110 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 10/18/2024 |
Identifier | Type | State | Issuer |
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1033765110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Logansport Family Health Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Avenue, Suite 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520 | |