| Interim Healthcare Palliative Care Of The Midwest, Inc | |
|
5410 Charlestown Rd. Suite 3 New Albany IN 47150-8266 | |
| (930) 888-2110 | |
| Not Available |
| Full Name | Interim Healthcare Palliative Care Of The Midwest, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5410 Charlestown Rd. Suite 3, New Albany, Indiana |
| Authorized Official Name and Position | Thomas J Dimarco (CEO) |
| Authorized Official Contact | 6144369404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim Healthcare Palliative Care Of The Midwest, Inc 300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 Ph: (614) 436-9404 | Interim Healthcare Palliative Care Of The Midwest, Inc 5410 Charlestown Rd. Suite 3 New Albany IN 47150-8266 Ph: (930) 888-2110 |
| NPI Number | 1518549963 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Medicare PECOS PAC ID | 4688085301 |
|---|---|
| Medicare Enrollment ID | O20210924001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518549963 | NPI | - | NPPES |
| Provider Name | Kathryn M Eash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124693 PECOS PAC ID: 6608169040 Enrollment ID: I20160722001857 |
| Provider Name | Ryan D King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528420304 PECOS PAC ID: 8426326638 Enrollment ID: I20190710002995 |
| Provider Name | Deanna M Sheeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811568041 PECOS PAC ID: 9234529876 Enrollment ID: I20211214001164 |
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