| Richland Family Practice | |
|
4088 N State Road 161 Richland IN 47634-9467 | |
| (812) 359-4512 | |
| (812) 359-6357 |
| Full Name | Richland Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 4088 N State Road 161, Richland, Indiana |
| Authorized Official Name and Position | Meagan Neighbors (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 8126600320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Family Practice Po Box 198 Richland IN 47634-0198 Ph: (812) 359-4512 | Richland Family Practice 4088 N State Road 161 Richland IN 47634-9467 Ph: (812) 359-4512 |
| NPI Number | 1396396842 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 6204268386 |
|---|---|
| Medicare Enrollment ID | O20191111001762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396396842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robin M Strahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693330 PECOS PAC ID: 2062763584 Enrollment ID: I20180924000402 |
| Provider Name | Crystal Deno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906171 PECOS PAC ID: 4284023797 Enrollment ID: I20211122001818 |