| Stroud Medical | |
|
201 E Main St Washington IN 47501-2970 | |
| (812) 254-4399 | |
| (812) 254-4473 |
| Full Name | Stroud Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 201 E Main St, Washington, Indiana |
| Authorized Official Name and Position | G Rex Stroud (OWNER) |
| Authorized Official Contact | 8122544399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stroud Medical Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Stroud Medical 201 E Main St Washington IN 47501-2970 Ph: (812) 254-4399 |
| NPI Number | 1457607046 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457607046 | NPI | - | NPPES |
| 15D2044671 | Other | IN | CLIA |
| 201087090A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01057059A (Indiana) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 01057059A (Indiana) | Secondary |
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