| Boone County Community Health Clinic, Inc | |
|
416 W Camp St Lebanon IN 46052-1799 | |
| (765) 483-4469 | |
| Not Available |
| Full Name | Boone County Community Health Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 416 W Camp St, Lebanon, Indiana |
| Authorized Official Name and Position | Bambi Mcquade-jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7654834469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone County Community Health Clinic, Inc 416 W Camp St Lebanon IN 46052-1799 Ph: (765) 483-4469 | Boone County Community Health Clinic, Inc 416 W Camp St Lebanon IN 46052-1799 Ph: (765) 483-4469 |
| NPI Number | 1962681734 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962681734 | NPI | - | NPPES |
| 100063430 | Medicaid | IN | |
| 200401120A | Medicaid | IN | |
| 200432840 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 71000784B (Indiana) | Primary |
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Witham Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Boone County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Washington St Ste B202, Lebanon, IN 46052 Phone: 765-482-3942 Fax: 765-483-4450 | |
Aspire Indiana Health-boone County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 W Main St, Lebanon, IN 46052 Phone: 765-335-7702 Fax: 765-482-2709 |