| Woodlawn Medical Professionals | |
|
1400 E 9th St Rochester IN 46975-8931 | |
| (574) 223-2020 | |
| (574) 223-5847 |
| Full Name | Woodlawn Medical Professionals |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 E 9th St, Rochester, Indiana |
| Authorized Official Name and Position | John Alley (CEO PRESIDENT) |
| Authorized Official Contact | 5742233141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlawn Medical Professionals 710 St Rd 25 N Rochester IN 46975 Ph: (574) 223-2020 | Woodlawn Medical Professionals 1400 E 9th St Rochester IN 46975-8931 Ph: (574) 223-2020 |
| NPI Number | 1215096763 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215096763 | NPI | - | NPPES |
| 200185450A | Medicaid | IN | |
| 200103750A | Medicaid | IN | |
| 270990 | Other | IN | MEDICARE ID - TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01046904A (Indiana) | Primary |
| 207Q00000X | Family Medicine | 01044502A (Indiana) | Secondary |
Fulton County Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Main St, Rochester, IN 46975 Phone: 574-223-4337 Fax: 574-223-4375 | |
Woodlawn Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 E 9th St, Rochester, IN 46975 Phone: 574-223-9393 Fax: 574-224-1103 | |
Indiana Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 8th St Ste A, Rochester, IN 46975 Phone: 317-576-1335 Fax: 317-576-1339 | |
Woodlawn Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Sr 25, Rochester, IN 46975 Phone: 574-223-8080 | |
Shafer Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 E 9th St, Rochester, IN 46975 Phone: 574-223-9393 Fax: 574-223-5847 | |
Woodlawn Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-2020 Fax: 574-224-1103 |