| Capabilities Healthcare Clinic | |
|
2707 S. Western Avenue Marion IN 46953-3565 | |
| (765) 668-4990 | |
| (765) 668-4993 |
| Full Name | Capabilities Healthcare Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2707 S. Western Avenue, Marion, Indiana |
| Authorized Official Name and Position | James R Allbaugh (CEO PRESIDENT) |
| Authorized Official Contact | 7656688961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capabilities Healthcare Clinic 2724 S. Carey Street Marion IN 46953 Ph: (765) 668-8961 | Capabilities Healthcare Clinic 2707 S. Western Avenue Marion IN 46953-3565 Ph: (765) 668-4990 |
| NPI Number | 1942335740 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942335740 | NPI | - | NPPES |
| 100124400A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | 71002182A (Indiana) | Secondary |
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