| NPI Details | |
|---|---|
| NPI | 1093802563 |
| Enumeration Date | 10/06/2006 |
| Last Updated | 01/29/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | ROGER ROGER |
| Position | CEO |
| Phone | (812) 265-0800 |
| Fax | (812) 265-0570 |
| Practice Location | |
|---|---|
| 630 N BROADWAY ST MADISON IN, 47250, US |
|
| Phone | (812) 265-0800 |
| Fax | (812) 265-0570 |
| Business Location | |
|---|---|
| PO BOX 189 MADISON IN, 47250, US |
|
| Phone | (812) 265-0199 |
| Fax | (812) 265-0570 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1093802563 NPI Number | |
According to our database, The Bethany Circle Of Kings Daughters Of Madison Indiana Inc NPI is 1093802563, taxonomy code is 332B00000X The Bethany Circle Of Kings Daughters Of Madison Indiana Inc physically located at 630 N Broadway St, Madison IN, 47250. NPI Number 1033115704 has the healthcare provider type.
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1093802563 NPI number is provided on an as is basis without warranty of any kind. 1093802563 is maintained by the National Plan & Provider Enumeration System. The contents of The Bethany Circle Of Kings Daughters Of Madison Indiana Inc are for informational purposes only.
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