| Community Medical Center Llc | |
|
5300 State Road 64 Ste 101 Georgetown IN 47122-9178 | |
| (812) 590-1600 | |
| (812) 590-6561 |
| Full Name | Community Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5300 State Road 64 Ste 101, Georgetown, Indiana |
| Authorized Official Name and Position | Syed Bokhari (PRACTICE MANAGER) |
| Authorized Official Contact | 8125901600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Center Llc 5300 State Road 64 Ste 101 Georgetown IN 47122-9178 Ph: (812) 590-1600 | Community Medical Center Llc 5300 State Road 64 Ste 101 Georgetown IN 47122-9178 Ph: (812) 590-1600 |
| NPI Number | 1891311791 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 2466879002 |
|---|---|
| Medicare Enrollment ID | O20200827003757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891311791 | NPI | - | NPPES |
| Provider Name | Hammad H Bokhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104832161 PECOS PAC ID: 3678532678 Enrollment ID: I20051114001026 |
| Provider Name | Treasa A Grangier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821340506 PECOS PAC ID: 8022260561 Enrollment ID: I20121210000321 |
| Provider Name | Agustin Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982963740 PECOS PAC ID: 1153568175 Enrollment ID: I20160201002810 |
Floyd Memorial Hospital And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 State Road 64, Floyd Memorial Family Medicine, Georgetown, IN 47122 Phone: 812-923-4200 Fax: 812-923-4203 |