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9529 W State Road 56 French Lick IN 47432-9708 | |
(812) 936-2425 | |
(812) 936-2599 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 9529 W State Road 56, French Lick, Indiana |
Authorized Official Name and Position | Janie A Millspaugh (ADMINISTRATOR) |
Authorized Official Contact | 8127237997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 W Longest St Paoli IN 47454-8821 Ph: (812) 723-7993 | 9529 W State Road 56 French Lick IN 47432-9708 Ph: (812) 936-2425 |
NPI Number | 1083863567 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 08/31/2020 |
Identifier | Type | State | Issuer |
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1083863567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Marion L. Hagan M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 S Maple St, French Lick, IN 47432 Phone: 812-936-4515 Fax: 812-936-4536 | |