| Lifeplex Medical Inc | |
|
2855 Miller Dr Ste 117 Plymouth IN 46563-8091 | |
| (574) 936-7777 | |
| (574) 941-1072 |
| Full Name | Lifeplex Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2855 Miller Dr Ste 117, Plymouth, Indiana |
| Authorized Official Name and Position | Byron Holm (MD) |
| Authorized Official Contact | 5749367777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeplex Medical Inc 2855 Miller Dr Ste 117 Plymouth IN 46563-8091 Ph: (574) 936-7777 | Lifeplex Medical Inc 2855 Miller Dr Ste 117 Plymouth IN 46563-8091 Ph: (574) 936-7777 |
| NPI Number | 1114449238 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114449238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01024911A (Indiana) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (Indiana) | Secondary |
Byron M. Holm, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Proactive Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 W Adams St Ste Gl30, Plymouth, IN 46563 Phone: 812-645-1892 | |
Patel Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 | |
Holm Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2855 Miller Dr Ste 205, Plymouth, IN 46563 Phone: 574-286-0200 | |
Saint Joseph Regional Medical Center- Plymouth Campus Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1919 Lake Ave Ste 102b, Plymouth, IN 46563 Phone: 574-335-6800 Fax: 574-948-5480 | |
Family Medicine Center Of Plymouth Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Lake Ave, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 |