WELLCARE FAMILY MEDICINE PC NPI 1558444885

NPI Information

WELLCARE FAMILY MEDICINE PC is a non pharmacy dispensing site in Indianapolis, IN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) WELLCARE FAMILY MEDICINE PC NPI is 1558444885. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellcare Family Medicine Pc.

The provider's business location address is:

9757 WESTPOINT DR
INDIANAPOLIS, IN
ZIP 46256-341
Phone: (317) 577-2779
Fax: (317) 577-2546

The provider's authorized official is Direndia Shackelford .
The authorized official title is Managed Care Specialist and has the following contact phone number (800) 654-0889.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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