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1 Nice Pak Rd Mooresville IN 46158-1367 | |
(317) 831-6458 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1 Nice Pak Rd, Mooresville, Indiana |
Authorized Official Name and Position | Gerry Erb (CEO) |
Authorized Official Contact | 3175737600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12400 N Meridian St Ste 160 Carmel IN 46032-4600 Ph: (317) 573-7600 | 1 Nice Pak Rd Mooresville IN 46158-1367 Ph: (317) 831-6458 |
NPI Number | 1235536392 |
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Provider Enumeration Date | 12/04/2014 |
Last Update Date | 10/16/2024 |
Identifier | Type | State | Issuer |
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1235536392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 02002977A (Indiana) | Primary |
332900000X | Non-pharmacy Dispensing Site | 02002977A (Indiana) | Secondary |
Meridian Health Services Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Hadley Rd Ste 103, Mooresville, IN 46158 Phone: 765-288-1928 | |