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
Fax: (260) 824-9267
Website:
Authorized official contact:
Name: Greenman, John J. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093217846 NPPES
Indiana MEDICAID 100101710A

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