Agnes C Bacala in Loogootee - Family Medicine
Agnes C Bacala - NPI 1205891744
Agnes C Bacala is a Family Medicine in Loogootee, Indiana. Agnes C Bacala practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Agnes C Bacala is 1205891744. The last update date is 2020-12-15.
Agnes C Bacala's current location address is 12546 E Us Highway 50, Loogootee, Indiana. You can contact this provider via phone number 8122955095 and fax number 8122959403. The mailing address for Agnes C Bacala is 12546 E Us Highway 50, Loogootee, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes C Bacala |
|---|---|
| Address | 12546 E Us Highway 50, Loogootee, Indiana |
| Phone Number | 8122955095 |
| Fax Number | 8122959403 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205891744 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 12546 E Us Highway 50 |
|---|---|
| City | Loogootee |
| State | Indiana (IN) |
| Post Code | 475535220 |
| Phone Number | 8122955095 |
| Fax Number | 8122959403 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 32413 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00711471 | KY | RAILROAD MEDICARE - KY | |
| P00298628 | IN | RAILROAD MEDICARE | |
| 200072110 | IN | -- | |
| 64130602 | KY | -- |
Post Comment/ Review Below
What is the Agnes C Bacala's 1205891744?
The Agnes C Bacala's NPI (National Provider Identifier) Number is 1205891744. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Agnes C Bacala's facilities are situated?
The facilities of Agnes C Bacala are physically located at the following address: 12546 E Us Highway 50, Loogootee, IN, 475535220.
What is the Agnes C Bacala's specialty and taxonomy code?
The Agnes C Bacala's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Agnes C Bacala's 1205891744 issued?
The Agnes C Bacala's 1205891744 was issued on 2006-04-18.
As of what date were the details pertaining to Agnes C Bacala last refreshed?
The information related to the Agnes C Bacala, including its address, specialty, and other relevant details, was last updated on 2020-12-15.