Chcjc Annex - Medicare Primary Care in Seymour, IN

Chcjc Annex is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Seymour, Indiana. The current practice location for Chcjc Annex is 120 Saint Louis Ave, Seymour, Indiana. For appointments, you can reach them via phone at (812) 405-1857. The mailing address for Chcjc Annex is 8003 Castleway Dr, Indianapolis, Indiana and phone number is (317) 576-1335.

Chcjc Annex is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124434469. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 405-1857.

Contact Information

Chcjc Annex
120 Saint Louis Ave
Seymour
IN 47274-2304
(812) 405-1857
(844) 397-1315

Primary Care Clinic Profile

Full NameChcjc Annex
SpecialityClinic/Center
Location120 Saint Louis Ave, Seymour, Indiana
Authorized Official Name and PositionTracy J Nagel (CFO)
Authorized Official Contact3175761335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chcjc Annex
8003 Castleway Dr
Indianapolis
IN 46250-1946

Ph: (317) 576-1335
Chcjc Annex
120 Saint Louis Ave
Seymour
IN 47274-2304

Ph: (812) 405-1857

NPI Details:

NPI Number1124434469
Provider Enumeration Date07/08/2014
Last Update Date03/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3971599473
Medicare Enrollment IDO20141016000443

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Medical Identifiers

Medical identifiers for Chcjc Annex such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124434469NPI-NPPES
100071250MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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