| Little Company Of Mary Hospital Of Indiana, Inc. | |
|
92 W Christmas Blvd Santa Claus IN 47579-6044 | |
| (812) 937-4120 | |
| (812) 937-7074 |
| Full Name | Little Company Of Mary Hospital Of Indiana, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 92 W Christmas Blvd, Santa Claus, 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 |
|---|---|
| Little Company Of Mary Hospital Of Indiana, Inc. Po Box 1028 Jasper IN 47547-1028 Ph: (812) 481-8493 | Little Company Of Mary Hospital Of Indiana, Inc. 92 W Christmas Blvd Santa Claus IN 47579-6044 Ph: (812) 937-4120 |
| NPI Number | 1295788362 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295788362 | 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: 92 W Christmas Blvd, Santa Claus, IN 47579 Phone: 812-937-4120 Fax: 812-996-7074 |