| Family Medicine of Greencastle | |
|
309 Medic Way Greencastle IN 46135-2296 | |
| (765) 653-2626 | |
| (765) 653-2300 |
| Full Name | Family Medicine of Greencastle |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 Medic Way, Greencastle, Indiana |
| Authorized Official Name and Position | Dennis Weatherford (CEO) |
| Authorized Official Contact | 7653017525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine of Greencastle 1542 S Bloomington St Greencastle IN 46135-2212 Ph: (765) 301-7525 | Family Medicine of Greencastle 309 Medic Way Greencastle IN 46135-2296 Ph: (765) 653-2626 |
| NPI Number | 1437750015 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Medicare PECOS PAC ID | 1951396605 |
|---|---|
| Medicare Enrollment ID | O20230403000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437750015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | () | Secondary |
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