| Alpine Clinic, Llc | |
|
3660 Rome Dr Lafayette IN 47905-4488 | |
| (765) 446-9394 | |
| (765) 447-8875 |
| Full Name | Alpine Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3660 Rome Dr, Lafayette, Indiana |
| Authorized Official Name and Position | Nizar El-khalili (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7654469394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Clinic, Llc 3660 Rome Dr Lafayette IN 47905-4488 Ph: (765) 446-9394 | Alpine Clinic, Llc 3660 Rome Dr Lafayette IN 47905-4488 Ph: (765) 446-9394 |
| NPI Number | 1548274202 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548274202 | NPI | - | NPPES |
| 200239900A | Medicaid | IN |
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