Wabash Valley Health Center, Inc. | |
1436 Locust St Terre Haute IN 47807-1648 | |
(812) 232-7447 | |
Not Available |
Full Name | Wabash Valley Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 1436 Locust St, Terre Haute, Indiana |
Authorized Official Name and Position | Peter C. Ciancone (PRESIDENT OF THE BOARD OF DIRECTORS) |
Authorized Official Contact | 8122406056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wabash Valley Health Center, Inc. 1436 Locust St Terre Haute IN 47807-1648 Ph: (812) 232-7447 | Wabash Valley Health Center, Inc. 1436 Locust St Terre Haute IN 47807-1648 Ph: (812) 232-7447 |
NPI Number | 1376974527 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 06/25/2020 |
Medicare PECOS PAC ID | 4880848530 |
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Medicare Enrollment ID | O20140331000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376974527 | NPI | - | NPPES |
201168600A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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