| Matthew 25, Inc | |
|
413 E Jefferson Blvd Fort Wayne IN 46802-3201 | |
| (260) 426-3250 | |
| Not Available |
| Full Name | Matthew 25, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 413 E Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Samantha Glover (HR) |
| Authorized Official Contact | 2604263250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew 25, Inc 413 E Jefferson Blvd Fort Wayne IN 46802-3201 Ph: (260) 426-3250 | Matthew 25, Inc 413 E Jefferson Blvd Fort Wayne IN 46802-3201 Ph: (260) 426-3250 |
| NPI Number | 1992268635 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992268635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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