| Black Clover Holdings Llc | |
|
7225 Heritage Square Dr Ste 240 Granger IN 46530-5646 | |
| (574) 369-9102 | |
| Not Available |
| Full Name | Black Clover Holdings Llc |
|---|---|
| Speciality | General Practice |
| Location | 7225 Heritage Square Dr Ste 240, Granger, Indiana |
| Authorized Official Name and Position | Joshua M Lederer (PARTNER) |
| Authorized Official Contact | 5743699102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Clover Holdings Llc 54863 Northbridge West Ct Osceola IN 46561-1309 Ph: (574) 369-9102 | Black Clover Holdings Llc 7225 Heritage Square Dr Ste 240 Granger IN 46530-5646 Ph: (574) 369-9102 |
| NPI Number | 1063397867 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063397867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12340 Bittersweet Commons Blvd W, Granger, IN 46530 Phone: 574-271-8610 Fax: 574-271-8620 | |
Michiana Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51265 Amesburry Way, Granger, IN 46530 Phone: 574-243-4875 Fax: 574-243-4847 | |
Granger Village Doctor Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50740 Princess Way, Suite 600, Granger, IN 46530 Phone: 574-243-8600 Fax: 574-243-8601 | |
Engleman Clinical Staffing, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14533 Sedgwick Ct, Granger, IN 46530 Phone: 574-400-0668 Fax: 574-400-0668 | |
True Health Experience Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409 | |
Renew Aesthetics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E University Dr, Granger, IN 46530 Phone: 574-318-4148 |