| Jasper Community Medical Services | |
|
480 Eversman Dr Jasper IN 47546-3548 | |
| (812) 280-2080 | |
| Not Available |
| Full Name | Jasper Community Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 480 Eversman Dr, Jasper, Indiana |
| Authorized Official Name and Position | Beth Keeney (EVP COMMUNITY HEALTH) |
| Authorized Official Contact | 8122061362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Community Medical Services 460 Spring St Jeffersonville IN 47130-3452 Ph: (812) 280-2080 | Jasper Community Medical Services 480 Eversman Dr Jasper IN 47546-3548 Ph: (812) 280-2080 |
| NPI Number | 1023681889 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Medicare PECOS PAC ID | 5294624508 |
|---|---|
| Medicare Enrollment ID | O20210830003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023681889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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