| Renaissance Medical Spa, Llc | |
|
1414 E Tipton St Seymour IN 47274-3533 | |
| (812) 524-9222 | |
| (812) 524-9777 |
| Full Name | Renaissance Medical Spa, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1414 E Tipton St, Seymour, Indiana |
| Authorized Official Name and Position | John Palmer Snook (OWNER) |
| Authorized Official Contact | 8125249222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Spa, Llc 1414 E Tipton St Seymour IN 47274-3533 Ph: (812) 524-9222 | Renaissance Medical Spa, Llc 1414 E Tipton St Seymour IN 47274-3533 Ph: (812) 524-9222 |
| NPI Number | 1043357726 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043357726 | NPI | - | NPPES |
| 067386 | Other | IN | SIHO |
| 000000352813 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01047137 (Indiana) | Primary |
Family Medical Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2026 N Ewing St, Seymour, IN 47274 Phone: 812-524-3333 Fax: 812-524-3334 | |
Jackson County Schneck Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 Medical Pl, Seymour, IN 47274 Phone: 812-522-1613 Fax: 812-522-6694 | |
Chcjc Annex Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Saint Louis Ave, Seymour, IN 47274 Phone: 812-405-1857 Fax: 844-397-1315 | |
Community Health Center Of Jackson County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 N Chestnut St, Seymour, IN 47274 Phone: 812-524-8388 Fax: 812-524-8330 | |
Caring Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 S Chestnut St, Seymour, IN 47274 Phone: 812-522-1222 Fax: 812-522-1558 | |
Renaissance Medical Spa, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 E Tipton St, Seymour, IN 47274 Phone: 812-524-9222 Fax: 812-524-9777 |