Hawthorne Family Medicine | |
5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 | |
(317) 355-2700 | |
(317) 355-2929 |
Full Name | Hawthorne Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 5508 E 16th Street, Indianapolis, Indiana |
Authorized Official Name and Position | Jeffery Kirkham (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hawthorne Family Medicine 5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 Ph: (317) 355-2700 | Hawthorne Family Medicine 5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 Ph: (317) 355-2700 |
NPI Number | 1174549315 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 09/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174549315 | NPI | - | NPPES |
200326750B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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