| Transitions Recovery, Llc | |
|
2406 G St Bedford IN 47421-5120 | |
| (812) 675-0377 | |
| Not Available |
| Full Name | Transitions Recovery, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2406 G St, Bedford, Indiana |
| Authorized Official Name and Position | Deanna Ford (CO-OWNER) |
| Authorized Official Contact | 8125837947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Recovery, Llc 2406 G St Bedford IN 47421-5120 Ph: (812) 675-0377 | Transitions Recovery, Llc 2406 G St Bedford IN 47421-5120 Ph: (812) 675-0377 |
| NPI Number | 1538622899 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 5799190682 |
|---|---|
| Medicare Enrollment ID | O20210301000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538622899 | NPI | - | NPPES |
| Provider Name | Elmo A Griggs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235209156 PECOS PAC ID: 6800140039 Enrollment ID: I20181107000322 |
| Provider Name | Rhonda J Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558831461 PECOS PAC ID: 9638419971 Enrollment ID: I20190322000774 |
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