Trustees Of Purdue University is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Burlington, Indiana. The current practice location for Trustees Of Purdue University is 425 E 5th Street, Suite B, Burlington, Indiana. For appointments, you can reach them via phone at
(765) 564-3016. The mailing address for Trustees Of Purdue University is 901 Prince William Rd, Suite A, Delphi, Indiana and phone number is (765) 564-3016.
Trustees Of Purdue University is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1295104669. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(765) 564-3016.
Primary Care Clinic Profile
| Full Name | Trustees Of Purdue University |
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| Speciality | Clinic/Center |
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| Location | 425 E 5th Street, Burlington, Indiana |
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| Authorized Official Name and Position | Daniel J Layman (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 7655643016 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Trustees Of Purdue University
901 Prince William Rd
Suite A
Delphi
IN 46923-1758
Ph: (765) 564-3016 | Trustees Of Purdue University
425 E 5th Street
Suite B
Burlington
IN 46915
Ph: (765) 564-3016 |
NPI Details:
| NPI Number | 1295104669 |
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| Provider Enumeration Date | 09/16/2015 |
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| Last Update Date | 04/18/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2567373012 |
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| Medicare Enrollment ID | O20160226001154 |
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Medical Identifiers
Medical identifiers for Trustees Of Purdue University such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295104669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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