| Medical Clinic Of Greensburg | |
|
203 East North Street Greesnburg IN 46240 | |
| (812) 662-8699 | |
| Not Available |
| Full Name | Medical Clinic Of Greensburg |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 East North Street, Greesnburg, Indiana |
| Authorized Official Name and Position | Mustafa Rehab (OWNER) |
| Authorized Official Contact | 8126628699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Of Greensburg 203 E North St Greensburg IN 47240-1717 Ph: () - | Medical Clinic Of Greensburg 203 East North Street Greesnburg IN 46240 Ph: (812) 662-8699 |
| NPI Number | 1457551103 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457551103 | NPI | - | NPPES |
| 200323770A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01051524 (Indiana) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 01051524 (Indiana) | Secondary |