| Wanee Walk In Clinic Llc | |
|
1028 E Waterford St Suite A Wakarusa IN 46573-9305 | |
| (574) 523-3227 | |
| (574) 296-6522 |
| Full Name | Wanee Walk In Clinic Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1028 E Waterford St, Wakarusa, Indiana |
| Authorized Official Name and Position | Cindy Hayes (DIRECTOR OF PHYSICIAN SERVICES) |
| Authorized Official Contact | 5745233227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanee Walk In Clinic Llc Po Box 386 Wakarusa IN 46573-0386 Ph: (574) 523-3227 | Wanee Walk In Clinic Llc 1028 E Waterford St Suite A Wakarusa IN 46573-9305 Ph: (574) 523-3227 |
| NPI Number | 1740504315 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740504315 | NPI | - | NPPES |
| 200982600A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 01015929A (Indiana) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | 01015929A (Indiana) | Secondary |
Beacon Medical Group Wakarusa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 N Elkhart St, Wakarusa, IN 46573 Phone: 574-862-2165 Fax: 574-862-4112 | |
Heritage Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Elkhart St, Wakarusa, IN 46573 Phone: 574-900-1991 Fax: 574-900-1193 |