| 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 - Primary Care |
| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891311791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
Floyd Memorial Family Medicine 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 |