Wells Medical Services
LBN: Main Street Clinic
Wells Medical Services is an health care organization with primary practice located at 117 S Main St , Bluffton IN 46714-2047. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Main Street Clinic can be contacted via phone (260) 824-9265, or through Greenman, John J. via phone (260) 824-9265.
Contact Information
Primary practice address
117 S Main St
Bluffton IN 46714-2047
Phone: (260) 824-9265
Fax: (260) 824-9267
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01034958 | Indiana |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 01034958 | Indiana |
Profile Details
NPI number | 1093217846 |
---|---|
LBN Legal business name | Main Street Clinic |
DBA Doing business as | Wells Medical Services |
Authorized official | Greenman, John J. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 7th, 2018 |
Last updated | Mar 7th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093217846 | NPPES |
Indiana | MEDICAID | 100101710A |
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