| Lakeside Family Medical | |
|
2186 N Hospital Blvd #2 Sullivan IN 47882-7523 | |
| (812) 268-3318 | |
| (812) 268-4017 |
| Full Name | Lakeside Family Medical |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2186 N Hospital Blvd #2, Sullivan, Indiana |
| Authorized Official Name and Position | Michelle Franklin (CEO) |
| Authorized Official Contact | 8122684311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Medical Po Box 230 Sullivan IN 47882-0230 Ph: (812) 268-3318 | Lakeside Family Medical 2186 N Hospital Blvd #2 Sullivan IN 47882-7523 Ph: (812) 268-3318 |
| NPI Number | 1619396728 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619396728 | NPI | - | NPPES |
| 201246990B | Medicaid | IN | |
| IN2042 | Other | IN | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mso Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-2650 | |
Fpa Quickcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-6292 | |
Sullivan County Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-3318 | |
Sullivan County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Sullivan, IN 47882 Phone: 812-268-0224 Fax: 812-268-0423 | |
Family Practice Associates Of Sullivan County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 | |
Sullivan County Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-3318 |