| Memorial Hospital And Health Care Center Memorial Family Care | |
|
1025 1st Ave W Jasper IN 47546-3217 | |
| (812) 996-8460 | |
| (812) 996-8465 |
| Full Name | Memorial Hospital And Health Care Center Memorial Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 1st Ave W, Jasper, Indiana |
| Authorized Official Name and Position | Raymond Snowden (PRESIDENT, CEO) |
| Authorized Official Contact | 8129962345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital And Health Care Center Memorial Family Care Po Box 1028 Jasper IN 47547-1028 Ph: (812) 996-8476 | Memorial Hospital And Health Care Center Memorial Family Care 1025 1st Ave W Jasper IN 47546-3217 Ph: (812) 996-8460 |
| NPI Number | 1518076397 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518076397 | NPI | - | NPPES |
| 200048850G | Medicaid | IN | |
| CB3118 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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