| Logansport Family Health Care | |
|
1201 Michigan Ave Ste 270 Logansport IN 46947-1530 | |
| (574) 722-4921 | |
| (574) 739-0520 |
| Full Name | Logansport Family Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Michigan Ave Ste 270, Logansport, Indiana |
| Authorized Official Name and Position | Stanton Risser (ACFO) |
| Authorized Official Contact | 2602669380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logansport Family Health Care 1101 Michigan Ave Logansport IN 46947-1596 Ph: (574) 753-1778 | Logansport Family Health Care 1201 Michigan Ave Ste 270 Logansport IN 46947-1530 Ph: (574) 722-4921 |
| NPI Number | 1215561576 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 8921500646 |
|---|---|
| Medicare Enrollment ID | O20251208000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215561576 | NPI | - | NPPES |
| 300117461 | Medicaid | IN | |
| 200003920L | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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