# CLARKSON MEDICAL BUILDING CONVENIENT CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306091947
- **Authorized official:** MRS. BEVERLY METZE FNP-C (NURSE PRACTICIONER)
- **Authorized official phone:** (765) 935-1905

## Contact information

- **Practice address:** 1350 CHESTER BLVD, RICHMOND, IN 47374-1907
- **Practice address phone:** (765) 935-1905
- **Practice address fax:** (765) 935-1910
- **Mailing address:** 1350 CHESTER BLVD, RICHMOND, IN 47374-1907
- **Mailing address phone:** (765) 935-1905
- **Mailing address fax:** (765) 935-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01032761A | IN | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 11/24/2008