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Prairie Creek Clinic
Clinic/Center in Montgomery, Indiana
NPI 1528231388

Prairie Creek Clinic is a Clinic/Center based in Montgomery, IN. Prairie Creek Clinic practices in Montgomery, IN. The NPI Number for Prairie Creek Clinic is 1528231388 and holds a License No. 01030345 (Indiana).

The current practice location address for Prairie Creek Clinic is Rr 1 Box 216, Montgomery, IN and can be reached out via phone at 812-687-7263 and via fax at 812-687-7264.

Location: Rr 1 Box 216, Montgomery, IN, 47558-9733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528231388
Provider Name
Prairie Creek Clinic
Credential
Provider Entity Type
Organization
Address
Rr 1 Box 216, Montgomery, IN, 47558-9733
Phone Number
812-687-7263
Fax Number
812-687-7264
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100320620A 05 IN
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 216
City
Montgomery
State
Indiana
Zip
47558-9733
Phone Number
812-687-7263
Fax Number
812-687-7264
person
Provider Business Mailing Address Details
Address
Rr 1 Box 216
City
Montgomery
State
Indiana
Zip
47558-9733
Phone Number
812-687-7263
Fax Number
812-687-7264
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
01030345 (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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