| Clinical Services, Llc | |
|
2315 Broadway Fort Wayne IN 46807-1103 | |
| (260) 458-8414 | |
| (260) 458-8414 |
| Full Name | Clinical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2315 Broadway, Fort Wayne, Indiana |
| Authorized Official Name and Position | Rosie T. Milner (PRESIDENT) |
| Authorized Official Contact | 2604588414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Services, Llc 2315 Broadway Fort Wayne IN 46807-1103 Ph: (260) 458-8414 | Clinical Services, Llc 2315 Broadway Fort Wayne IN 46807-1103 Ph: (260) 458-8414 |
| NPI Number | 1770725244 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Medicare PECOS PAC ID | 5890842983 |
|---|---|
| Medicare Enrollment ID | O20090407000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770725244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 71000514A (Indiana) | Primary |
| Provider Name | Rosie T Milner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831252592 PECOS PAC ID: 9739236829 Enrollment ID: I20090407000065 |
| Provider Name | Dinorah Rene Milner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679736367 PECOS PAC ID: 6800066341 Enrollment ID: I20110819000208 |
Aptcare In 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845 Phone: 260-602-9574 | |
Northeast Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Anthony Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-447-8982 Fax: 260-447-4483 | |
Brooklyn Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-747-6171 Fax: 260-478-5125 | |
Community Open Mri Of Auburn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 | |
Ashraf H. Hanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 | |
Act 3 Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 Trier Rd, Fort Wayne, IN 46815 Phone: 260-515-3275 |