Decatur County Primary Care

NPI 1093712887 - Clinic/Center - 261QP2300X

NPI Details
NPI 1093712887
Enumeration Date 07/07/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MARJORIE B. MARJORIE
Position CMPLIANCE OFFICER
Phone (812) 591-3452
Fax (812) 591-2999
Practice Location
308 MULBERRY STREET
WESTPORT IN, 47283-0620, US
Phone (812) 591-3452
Fax (812) 591-2999
Business Location
PO BOX 620
WESTPORT IN, 47283-0620, US
Phone (812) 591-3452
Fax (812) 591-2999
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1093712887 NPI Number
 

According to our database, Decatur County Primary Care NPI is 1093712887, taxonomy code is 261QP2300X Decatur County Primary Care physically located at 308 Mulberry Street, Westport IN, 47283-0620. NPI Number 1033115704 has the healthcare provider type.

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1093712887 NPI number is provided on an as is basis without warranty of any kind. 1093712887 is maintained by the National Plan & Provider Enumeration System. The contents of Decatur County Primary Care are for informational purposes only.