| Well Care Community Health, Inc. | |
|
25 W Main St Austin IN 47102-1303 | |
| (812) 794-8100 | |
| (812) 794-8200 |
| Full Name | Well Care Community Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 W Main St, Austin, Indiana |
| Authorized Official Name and Position | Cathy Sue Jarvis (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7659739294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Care Community Health, Inc. 203 E Main St Richmond IN 47374-4208 Ph: (765) 973-9294 | Well Care Community Health, Inc. 25 W Main St Austin IN 47102-1303 Ph: (812) 794-8100 |
| NPI Number | 1104538636 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 9335576131 |
|---|---|
| Medicare Enrollment ID | O20230301002572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104538636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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