| Family Practice Of Jay County | |
|
428 West Votaw Street, Ste. A Portland IN 47371-0710 | |
| (260) 726-8822 | |
| (260) 726-7857 |
| Full Name | Family Practice Of Jay County |
|---|---|
| Speciality | Family Medicine |
| Location | 428 West Votaw Street, Ste. A, Portland, Indiana |
| Authorized Official Name and Position | Mark Allen Haggenjos (MANAGING PHYSICIAN) |
| Authorized Official Contact | 2607268822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Jay County Po Box 710 Portland IN 47371-0710 Ph: (260) 726-8822 | Family Practice Of Jay County 428 West Votaw Street, Ste. A Portland IN 47371-0710 Ph: (260) 726-8822 |
| NPI Number | 1982749867 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982749867 | NPI | - | NPPES |
| 200923150 | Medicaid | IN | |
| 200326550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jay County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-1934 Fax: 260-726-1911 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 931 W Water St Ste A, Portland, IN 47371 Phone: 260-726-9348 | |
Preferred Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 S 500 W, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2072 In-67, Portland, IN 47371 Phone: 765-729-8247 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928 | |
Vormohr Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1758 W 100 S, Portland, IN 47371 Phone: 260-726-7616 Fax: 260-726-8165 | |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1758 W 100 S, Portland, IN 47371 Phone: 260-726-7616 |