| St Joseph Medical Group Inc | |
|
1109 W Maumee St Angola IN 46703-1329 | |
| (260) 665-2131 | |
| Not Available |
| Full Name | St Joseph Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1109 W Maumee St, Angola, Indiana |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Medical Group Inc 1109 W Maumee St Angola IN 46703-1329 Ph: (260) 665-2131 | St Joseph Medical Group Inc 1109 W Maumee St Angola IN 46703-1329 Ph: (260) 665-2131 |
| NPI Number | 1801851902 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801851902 | NPI | - | NPPES |
| 100268520 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Practical Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Wayne St Unit H2, Angola, IN 46703 Phone: 260-316-0782 | |
Maplewood Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3270 Intertech Dr, Suite B, Angola, IN 46703 Phone: 260-665-9100 Fax: 260-665-9112 | |
Cameron Memorial Community Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1381 N Wayne St, Angola, IN 46703 Phone: 260-665-8222 Fax: 260-665-8970 | |
Cameron Memorial Community Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 E Maumee St Ste 101, Angola, IN 46703 Phone: 260-667-5670 Fax: 260-667-5680 | |
Watkins Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Maumee St, Angola, IN 46703 Phone: 260-665-2164 Fax: 260-665-3932 | |
Dunlap Eye Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Wayne St, Angola, IN 46703 Phone: 260-665-5450 Fax: 260-665-5860 | |
Hollingsworth Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Williams St, Angola, IN 46703 Phone: 260-665-2161 |