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Family Medicine Center Of Plymouth Pc
Clinic/Center in Plymouth, Indiana
NPI 1942355466

Family Medicine Center Of Plymouth Pc is a Clinic/Center based in Plymouth, IN. Family Medicine Center Of Plymouth Pc practices in Plymouth, IN. The NPI Number for Family Medicine Center Of Plymouth Pc is 1942355466 and holds a License No. 02001552 (Indiana).

The current practice location address for Family Medicine Center Of Plymouth Pc is 1904 Lake Ave, Plymouth, IN and can be reached out via phone at 574-936-3178 and via fax at 574-936-1084.

Location: 1904 Lake Ave, Plymouth, IN, 46563-7828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942355466
Provider Name
Family Medicine Center Of Plymouth Pc
Credential
Provider Entity Type
Organization
Address
1904 Lake Ave, Plymouth, IN, 46563-7828
Phone Number
574-936-3178
Fax Number
574-936-1084
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000093835 01 IN ANTHEM BCBS
20029880 05 IN
institution
Provider Business Practice Location Address Details
Address
1904 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-7828
Phone Number
574-936-3178
Fax Number
574-936-1084
person
Provider Business Mailing Address Details
Address
1904 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-7828
Phone Number
574-936-3178
Fax Number
574-936-1084
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
02001552 (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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