Logansport Family Health Care Pc in Logansport - Clinical
Logansport Family Health Care Pc - NPI 1912097197
Logansport Family Health Care Pc is a Clinical in Logansport, Indiana. Logansport Family Health Care Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Logansport Family Health Care Pc is 1912097197. The last update date is 2008-01-11.
Logansport Family Health Care Pc's current location address is 1201 Michigan Avenue, Logansport, Indiana. You can contact this provider via phone number 5747224921 and fax number 5747390520. The mailing address for Logansport Family Health Care Pc is 1201 Michigan Avenue, Logansport, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Logansport Family Health Care Pc |
|---|---|
| Address | 1201 Michigan Avenue, Logansport, Indiana |
| Phone Number | 5747224921 |
| Fax Number | 5747390520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Neumann S Cory |
| Credentials | M.D. |
| Telephone Number | 5747224921 |
NPI Number Detail
| NPI Number | 1912097197 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 1201 Michigan Avenue |
|---|---|
| City | Logansport |
| State | Indiana (IN) |
| Post Code | 469471530 |
| Phone Number | 5747224921 |
| Fax Number | 5747390520 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004044A |
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What is the unique provider identifier assigned to Logansport Family Health Care Pc?
The Logansport Family Health Care Pc has been issued the NPI (National Provider Identifier) 1912097197 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Logansport Family Health Care Pc located?
The Logansport Family Health Care Pc is located at 1201 Michigan Avenue, Logansport, IN 469471530.
What is Logansport Family Health Care Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Logansport Family Health Care Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912097197 to Logansport Family Health Care Pc?
The Centers for Medicare & Medicaid Services originally issued the 1912097197 to Logansport Family Health Care Pc on 2006-10-16.
When was the Logansport Family Health Care Pc's information last updated?
The Logansport Family Health Care Pc's information was last updated on 2008-01-11.