Family Medicine Center Of Sjrmc | |
611 E Douglas Rd, Ste 407 Family Medicine Center Of Sjrmc Mishawaka IN 46545-1468 | |
(574) 335-6500 | |
(574) 335-0772 |
Full Name | Family Medicine Center Of Sjrmc |
---|---|
Speciality | Family Medicine |
Location | 611 E Douglas Rd, Ste 407, Mishawaka, Indiana |
Authorized Official Name and Position | Rob Sink (VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 5743355000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medicine Center Of Sjrmc 707 Cedar St, Ste 200 Sjhs Provider Services South Bend IN 46617-2057 Ph: (574) 335-8700 | Family Medicine Center Of Sjrmc 611 E Douglas Rd, Ste 407 Family Medicine Center Of Sjrmc Mishawaka IN 46545-1468 Ph: (574) 335-6500 |
NPI Number | 1780766261 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 07/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780766261 | NPI | - | NPPES |
100382210E | Medicaid | IN | |
300019508 | Medicaid | IN | |
100382210A | Medicaid | IN |
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