| Madison Direct Health | |
|
110 Holt Dr Madison IN 47250-3873 | |
| (812) 265-2500 | |
| Not Available |
| Full Name | Madison Direct Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Holt Dr, Madison, Indiana |
| Authorized Official Name and Position | Brandy Smith (OWNER/MANAGER) |
| Authorized Official Contact | 8122652500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Direct Health Po Box 1414 Madison IN 47250-1414 Ph: (812) 265-2500 | Madison Direct Health 110 Holt Dr Madison IN 47250-3873 Ph: (812) 265-2500 |
| NPI Number | 1013513282 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 8628481132 |
|---|---|
| Medicare Enrollment ID | O20201230000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013513282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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