| St Catherine Physician Services Of Indiana | |
|
417 West Colonel Way Henryville IN 47126 | |
| (812) 294-1470 | |
| Not Available |
| Full Name | St Catherine Physician Services Of Indiana |
|---|---|
| Speciality | Family Medicine |
| Location | 417 West Colonel Way, Henryville, Indiana |
| Authorized Official Name and Position | Robert Lane (CEO) |
| Authorized Official Contact | 8122563301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Catherine Physician Services Of Indiana 417 West Colonel Way Henryville IN 47126 Ph: (812) 294-1470 | St Catherine Physician Services Of Indiana 417 West Colonel Way Henryville IN 47126 Ph: (812) 294-1470 |
| NPI Number | 1629252515 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629252515 | NPI | - | NPPES |
| H30374 | Other | IN | UPIN |
| 000000550438 | Other | IN | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01052944A (Indiana) | Primary |
Well Care Community Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 S Ferguson St, Henryville, IN 47126 Phone: 812-794-8100 Fax: 812-794-8200 |