| Daviess Community Hospital Montgomery Medical Clinic | |
|
542 N 3rd St Montgomery IN 47558-5745 | |
| (812) 486-2842 | |
| Not Available |
| Full Name | Daviess Community Hospital Montgomery Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 542 N 3rd St, Montgomery, Indiana |
| Authorized Official Name and Position | Chastity Lynne Fox (PFS SUPERVISOR) |
| Authorized Official Contact | 8122548620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daviess Community Hospital Montgomery Medical Clinic Po Box 760 Washington IN 47501-0760 Ph: (812) 254-2760 | Daviess Community Hospital Montgomery Medical Clinic 542 N 3rd St Montgomery IN 47558-5745 Ph: (812) 486-2842 |
| NPI Number | 1336959279 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 1557271665 |
|---|---|
| Medicare Enrollment ID | O20250910002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336959279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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