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1381 N Wayne St Angola IN 46703-2348 | |
(260) 665-8222 | |
(260) 665-8970 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1381 N Wayne St, Angola, Indiana |
Authorized Official Name and Position | Carlos Alcazar (VP/CFO) |
Authorized Official Contact | 2606675133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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416 E Maumee St Angola IN 46703-2015 Ph: (260) 667-5133 | 1381 N Wayne St Angola IN 46703-2348 Ph: (260) 665-8222 |
NPI Number | 1326531179 |
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Provider Enumeration Date | 06/07/2018 |
Last Update Date | 05/19/2021 |
Medicare PECOS PAC ID | 9234020835 |
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Medicare Enrollment ID | O20180808001713 |
Identifier | Type | State | Issuer |
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1326531179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Watkins Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Maumee St, Angola, IN 46703 Phone: 260-665-2164 Fax: 260-665-3932 | |
Dunlap Eye Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Wayne St, Angola, IN 46703 Phone: 260-665-5450 Fax: 260-665-5860 | |
Hollingsworth Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Williams St, Angola, IN 46703 Phone: 260-665-2161 | |