Windrose Health Network Inc | |
6655 E Us Highway 36 Ste 164 Avon IN 46123-8923 | |
(888) 714-1927 | |
Not Available |
Full Name | Windrose Health Network Inc |
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Speciality | Clinic/Center |
Location | 6655 E Us Highway 36 Ste 164, Avon, Indiana |
Authorized Official Name and Position | Scott K Rollett (CEO) |
Authorized Official Contact | 3177394895 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Windrose Health Network Inc 14 Trafalgar Sq Trafalgar IN 46181-9515 Ph: (317) 739-4895 | Windrose Health Network Inc 6655 E Us Highway 36 Ste 164 Avon IN 46123-8923 Ph: (888) 714-1927 |
NPI Number | 1447822150 |
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Provider Enumeration Date | 07/13/2021 |
Last Update Date | 07/13/2021 |
Medicare PECOS PAC ID | 8426965039 |
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Medicare Enrollment ID | O20211102000418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447822150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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