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Organization

LOGANSPORT CLINIC FOR WOMEN

Active
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Organization

LOGANSPORT CLINIC FOR WOMEN

Active
Parent organization
MEMORIAL HOSPITAL
Other names
Women's Health Center of Logansport
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL HOSPITAL
Authorized official
MRS. SANDRA M. ELLIOT CHC (CORPORATE COMPLIANCE OFFICER)
(574) 753-1767
Entity
Organization

Contact information

Practice address
1025 MICHIGAN AVE, SUITE 115, LOGANSPORT, IN 46947-1593
(574) 722-3566
(574) 753-6118
Mailing address
1025 MICHIGAN AVE, SUITE 115, LOGANSPORT, IN 46947-1593
(574) 722-3566
(574) 753-6118

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN

Other

Enumeration date
04/12/2007
Last updated
04/07/2008
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