Little Company Of Mary Hospital Of Indiana, Inc | |
115 S Main St Ferdinand IN 47532-9534 | |
(812) 367-1906 | |
(812) 367-2487 |
Full Name | Little Company Of Mary Hospital Of Indiana, Inc |
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Speciality | Family Medicine |
Location | 115 S Main St, Ferdinand, Indiana |
Authorized Official Name and Position | Raymond W Snowden (PRESIDENT, CEO) |
Authorized Official Contact | 8124822345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little Company Of Mary Hospital Of Indiana, Inc Po Box 1028 Jasper IN 47547-1028 Ph: (812) 481-8483 | Little Company Of Mary Hospital Of Indiana, Inc 115 S Main St Ferdinand IN 47532-9534 Ph: (812) 367-1906 |
NPI Number | 1700966777 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 01/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700966777 | NPI | - | NPPES |
CB3118 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Deaconess Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Main St, Ferdinand, IN 47532 Phone: 812-367-1906 Fax: 812-367-2487 |