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Organization
COORDINATED HEALTH LLC
Active
Organization
COORDINATED HEALTH LLC
Active
Other names
Schneck Family Care of Washington County
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MANN (VP FINANCE AND CFO/TREASURER)
(812) 522-2349
Entity
Organization
Contact information
Practice address
403 S MAIN ST, SUITE 129, SALEM, IN 47167-1323
(812) 523-5239
Mailing address
403 S MAIN ST, SUITE 129, SALEM, IN 47167-1323
(812) 523-5239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375540D
—
IN
Enumeration date
11/03/2008
Last updated
11/21/2019
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