| Broadway Family Medicine | |
|
3113 Broadway St Anderson IN 46012-1261 | |
| (765) 640-9252 | |
| (765) 640-9439 |
| Full Name | Broadway Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3113 Broadway St, Anderson, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Family Medicine 3113 Broadway St Anderson IN 46012-1261 Ph: (765) 640-9252 | Broadway Family Medicine 3113 Broadway St Anderson IN 46012-1261 Ph: (765) 640-9252 |
| NPI Number | 1518114032 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518114032 | NPI | - | NPPES |
| 200239920B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 7 days ago
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