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PATEL FAMILY MEDICINE LLC NPI 1225348584


NPI Information

NPI: 1225348584
Provider Name: PATEL FAMILY MEDICINE LLC

Doing Business As: FAMILY MEDICINE CENTER OF PLYMOUTH

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 15D2055893

Address:
105 WATER ST
PLYMOUTH, IN
ZIP 46563
Phone: (574) 936-3178
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PATEL FAMILY MEDICINE LLC is a clinic center in Plymouth, IN. The provider is 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). PATEL FAMILY MEDICINE LLC NPI is 1225348584. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Center Of Plymouth.

The provider's business location address is:

105 WATER ST
PLYMOUTH, IN
ZIP 46563-148
Phone: (574) 936-3178
Fax: (574) 936-1084

The provider's authorized official is Charlotte Pearish .
The authorized official title is Office Manager and has the following contact phone number (574) 936-3178.

The CLIA number assigned to this NPI record is 15D2055893 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 2/20/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center01063921AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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