| Dedicated Family Health | |
|
117 N Main St Hebron IN 46341-8971 | |
| (219) 509-3383 | |
| (219) 509-3389 |
| Full Name | Dedicated Family Health |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 117 N Main St, Hebron, Indiana |
| Authorized Official Name and Position | Colette H Walter (NP, CEO) |
| Authorized Official Contact | 2195093383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Family Health 117 N Main St Hebron IN 46341-8971 Ph: (219) 509-3383 | Dedicated Family Health 117 N Main St Hebron IN 46341-8971 Ph: (219) 509-3383 |
| NPI Number | 1144797986 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144797986 | NPI | - | NPPES |
| 1144797986 | Other | IN | NPI 2 |
| 201180370 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Porter-starke Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 S State Road 2, Hebron, IN 46341 Phone: 219-806-3011 |