| Ash Street Clinic | |
|
400 Ash St Wabash IN 46992-1954 | |
| (260) 563-8875 | |
| (260) 569-9803 |
| Full Name | Ash Street Clinic |
|---|---|
| Speciality | General Practice |
| Location | 400 Ash St, Wabash, Indiana |
| Authorized Official Name and Position | Paolo C. Giacomini C Giacomini (OWNER) |
| Authorized Official Contact | 2605638875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ash Street Clinic 400 Ash St Wabash IN 46992-1954 Ph: (260) 563-8875 | Ash Street Clinic 400 Ash St Wabash IN 46992-1954 Ph: (260) 563-8875 |
| NPI Number | 1790940476 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790940476 | NPI | - | NPPES |
| 200042050A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01038356 (Indiana) | Primary |
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