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1540 Provident Dr Warsaw IN 46580-3291 | |
| (574) 372-5868 | |
| (574) 372-5867 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1540 Provident Dr, Warsaw, Indiana |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2144733993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 996 Warsaw IN 46581-0996 Ph: (574) 372-5868 | 1540 Provident Dr Warsaw IN 46580-3291 Ph: (574) 372-5868 |
| NPI Number | 1407960206 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407960206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medstat Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637 | |
Legacy Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 260-615-2585 | |
Kosciusko Family Healthcare, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Clinic Of R L Ohalloran Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-2705 |