| Purdue University | |
|
502 N University Street Johnson Hall Room B 5 West Lafayette IN 47907-2069 | |
| (765) 494-6341 | |
| (765) 496-1022 |
| Full Name | Purdue University |
|---|---|
| Speciality | Clinic/center |
| Location | 502 N University Street, West Lafayette, Indiana |
| Authorized Official Name and Position | Joan M Vaughan (DIRECTOR HIPAA PRIVACY COMPLIANCE) |
| Authorized Official Contact | 7654961927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purdue University 601 Stadium Mall Drive West Lafayette IN 47907-2052 Ph: (765) 496-1927 | Purdue University 502 N University Street Johnson Hall Room B 5 West Lafayette IN 47907-2069 Ph: (765) 494-6341 |
| NPI Number | 1598966541 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598966541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Purdue Sports Medicine Wl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 Phone: 765-494-3245 Fax: 765-494-9899 | |
One Doc Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 W State St, Building B, West Lafayette, IN 47906 Phone: 423-602-9530 | |
Chs Indiana Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W State St, West Lafayette, IN 47906 Phone: 703-760-0700 | |
Purdue University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 | |
Coze Health Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906 Phone: 765-204-1122 Fax: 765-205-8322 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2060 Us Highway 52 W Ste S, West Lafayette, IN 47906 Phone: 765-222-4422 | |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W State St, Building B Suite C, West Lafayette, IN 47906 Phone: 423-602-9530 |