| Valley Professionals Community Health Center, Inc. | |
|
703 W Park St Cayuga IN 47928-8207 | |
| (765) 492-9042 | |
| (765) 492-9048 |
| Full Name | Valley Professionals Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 703 W Park St, Cayuga, Indiana |
| Authorized Official Name and Position | Terry Warren (CEO) |
| Authorized Official Contact | 7654929042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Professionals Community Health Center, Inc. Po Box 344 Clinton IN 47842-0344 Ph: (765) 492-9042 | Valley Professionals Community Health Center, Inc. 703 W Park St Cayuga IN 47928-8207 Ph: (765) 492-9042 |
| NPI Number | 1417284043 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 05/06/2016 |
| Medicare PECOS PAC ID | 7618067265 |
|---|---|
| Medicare Enrollment ID | O20091216000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417284043 | NPI | - | NPPES |
| 200884580B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
Wcch-cayuga Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Division Street, Cayuga, IN 47928 Phone: 765-492-9042 Fax: 765-492-9044 | |
Parke Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Grant St, Cayuga, IN 47928 Phone: 765-492-3316 |