Family Health Clinic Of Monon | |
692 E Broadway St Monon IN 47959-8191 | |
(877) 797-2404 | |
Not Available |
Full Name | Family Health Clinic Of Monon |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 692 E Broadway St, Monon, Indiana |
Authorized Official Name and Position | Daniel J Layman (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7655643016 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Health Clinic Of Monon Po Box 597 Delphi IN 46923-0597 Ph: (765) 564-3016 | Family Health Clinic Of Monon 692 E Broadway St Monon IN 47959-8191 Ph: (877) 797-2404 |
NPI Number | 1871794826 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 04/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871794826 | NPI | - | NPPES |
200852780A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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White County Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 N Adams St, Monon, IN 47959 Phone: 219-253-6691 Fax: 219-253-6173 |