Family Medicine Center Of Plymouth Pc

LBN: Family Medicine Center Of Plymouth Pc
Family Medicine Center Of Plymouth Pc is an health care organization with primary practice located at 1904 Lake Ave , Plymouth IN 46563-7828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Family Medicine Center Of Plymouth Pc can be contacted via phone (574) 936-3178, or through Barnard, Harold A via phone (574) 936-3178.

Contact Information

Primary practice address
1904 Lake Ave Plymouth IN 46563-7828
Phone: (574) 936-3178
Fax: (574) 936-1084
Website:
Map and Directions
Authorized official contact:
Name: Barnard, Harold A Doctor of Osteopathy (DO)
Phone: (574) 936-3178

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 02001552 Indiana

Profile Details

NPI number 1942355466
LBN Legal business name Family Medicine Center Of Plymouth Pc
DBA Doing business as
Authorized official Barnard, Harold A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942355466 NPPES
Indiana Other 000000093835 ANTHEM BCBS
Indiana MEDICAID 20029880 ANTHEM BCBS

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