Community Howard Physician Network, Llc | |
3500 S Lafountain St Kokomo IN 46902-3803 | |
(317) 621-9312 | |
Not Available |
Full Name | Community Howard Physician Network, Llc |
---|---|
Speciality | Family Medicine |
Location | 3500 S Lafountain St, Kokomo, Indiana |
Authorized Official Name and Position | Joseph Hooper (CFO) |
Authorized Official Contact | 3176217561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Howard Physician Network, Llc 6626 E 75th St Suite 500 Indianapolis IN 46250-2890 Ph: () - | Community Howard Physician Network, Llc 3500 S Lafountain St Kokomo IN 46902-3803 Ph: (317) 621-9312 |
NPI Number | 1013358365 |
---|---|
Provider Enumeration Date | 07/16/2013 |
Last Update Date | 12/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013358365 | NPI | - | NPPES |
DU3904 | Other | IN | GROUP MEDICARE RR |
201183180 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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