| Southside Family Practice | |
|
3554 Promenade Pkwy Suite F Lafayette IN 47909-8417 | |
| (765) 471-9146 | |
| (765) 477-0277 |
| Full Name | Southside Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3554 Promenade Pkwy, Lafayette, Indiana |
| Authorized Official Name and Position | Heather Dawson (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7654465417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Family Practice Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Southside Family Practice 3554 Promenade Pkwy Suite F Lafayette IN 47909-8417 Ph: (765) 471-9146 |
| NPI Number | 1346413614 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346413614 | NPI | - | NPPES |
| 200107480E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
Tlc Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Main St Ste 210, Lafayette, IN 47901 Phone: 765-404-8099 |
Kelly Nutrition, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Dr Ste F, Lafayette, IN 47905 Phone: 765-413-5609 |
St Elizabeth Infusion Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 Unity Pl, Suite 365, Lafayette, IN 47905 Phone: 765-446-5417 Fax: 765-446-5317 |
Fundamental Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 S Creasy Ln Ste K3, Lafayette, IN 47905 Phone: 765-838-2310 Fax: 765-838-1035 |
Horizon Oncology Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 Unity Pl, Ste 365, Lafayette, IN 47905 Phone: 765-446-5111 Fax: 765-446-5165 |
Valley Oaks Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2323 Ferry Street, Floor 2, Lafayette, IN 47904 Phone: 866-682-5539 |