| Clarksville Primary Care, Llc | |
|
140 E Maple Ct Clarksville IN 47129-1852 | |
| (812) 282-4283 | |
| (812) 282-4293 |
| Full Name | Clarksville Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 140 E Maple Ct, Clarksville, Indiana |
| Authorized Official Name and Position | Jose Bada (OWNER) |
| Authorized Official Contact | 8122824283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Primary Care, Llc 140 E Maple Ct Clarksville IN 47129-1852 Ph: (812) 282-4283 | Clarksville Primary Care, Llc 140 E Maple Ct Clarksville IN 47129-1852 Ph: (812) 282-4283 |
| NPI Number | 1447476528 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447476528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1047589A (Indiana) | Primary |
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