| Dch Provider Services | |
|
1401 Memorial Ave Ste C Washington IN 47501-3154 | |
| (812) 254-2760 | |
| (812) 254-8636 |
| Full Name | Dch Provider Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Memorial Ave Ste C, Washington, Indiana |
| Authorized Official Name and Position | Anthony Showalter (BOARD PRESIDENT) |
| Authorized Official Contact | 8122542760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Provider Services Po Box 760 Washington IN 47501-0760 Ph: (812) 254-2760 | Dch Provider Services 1401 Memorial Ave Ste C Washington IN 47501-3154 Ph: (812) 254-2760 |
| NPI Number | 1679921035 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 01/02/2021 |
| Certification Date | 01/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679921035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16-005056-1 (Indiana) | Primary |
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