| Valley Professionals Community Health Center Inc | |
|
1702 Lafayette Rd Crawfordsville IN 47933-1033 | |
| (765) 625-5100 | |
| (765) 281-1030 |
| Full Name | Valley Professionals Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1702 Lafayette Rd, Crawfordsville, Indiana |
| Authorized Official Name and Position | Terry Warren (CEO) |
| Authorized Official Contact | 2609696598 |
| 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 1702 Lafayette Rd Crawfordsville IN 47933-1033 Ph: (765) 625-5100 | Valley Professionals Community Health Center Inc 1702 Lafayette Rd Crawfordsville IN 47933-1033 Ph: (765) 625-5100 |
| NPI Number | 1083009997 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 7618067265 |
|---|---|
| Medicare Enrollment ID | O20150728003485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083009997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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