| Cameron Family Medicine | |
|
1500 W Maumee St Angola IN 46703-8605 | |
| (260) 665-8494 | |
| Not Available |
| Full Name | Cameron Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 W Maumee St, Angola, Indiana |
| Authorized Official Name and Position | Carlos Alcazar (VP/CFO) |
| Authorized Official Contact | 2606675133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Family Medicine 1500 W Maumee St Angola IN 46703-8605 Ph: (260) 665-8494 | Cameron Family Medicine 1500 W Maumee St Angola IN 46703-8605 Ph: (260) 665-8494 |
| NPI Number | 1730357245 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 9234020835 |
|---|---|
| Medicare Enrollment ID | O20170927002980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730357245 | NPI | - | NPPES |
| 100225670 | Medicaid | IN | |
| 200185720A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 01033506A (Indiana) | Primary |
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