| Community Howard Physician Network, LLC | |
|
3500 S Lafountain St Kokomo IN 46902-3803 | |
| (317) 621-9312 | |
| Not Available |
| Full Name | Community Howard Physician Network, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3500 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Joseph Hooper (CFO) |
| Authorized Official Contact | 3176217561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Howard Physician Network, LLC 6626 E 75th St Suite 500 Indianapolis IN 46250-2890 | Community Howard Physician Network, LLC 3500 S Lafountain St Kokomo IN 46902-3803 Ph: (317) 621-9312 |
| NPI Number | 1013358365 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013358365 | NPI | - | NPPES |
| DU3904 | Other | IN | GROUP MEDICARE RR |
| 201183180 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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