Concord Family Medicine Pc | |
25651 County Road 20 Elkhart IN 46517-2310 | |
(574) 522-1201 | |
Not Available |
Full Name | Concord Family Medicine Pc |
---|---|
Speciality | Family Medicine |
Location | 25651 County Road 20, Elkhart, Indiana |
Authorized Official Name and Position | Rosemary Planera (PRATICE MANAGER) |
Authorized Official Contact | 5745221201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Concord Family Medicine Pc 25651 County Road 20 Elkhart IN 46517-2310 Ph: (574) 522-1201 | Concord Family Medicine Pc 25651 County Road 20 Elkhart IN 46517-2310 Ph: (574) 522-1201 |
NPI Number | 1558462101 |
---|---|
Provider Enumeration Date | 09/26/2006 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558462101 | NPI | - | NPPES |
100113550A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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