# NETTLE CREEK HEALTH CARE CENTER PC

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

## Provider details

- **NPI number:** 1700940061
- **Authorized official:** MRS. KIM M WEBER MD (OWNER)
- **Authorized official phone:** (765) 489-4578

## Contact information

- **Practice address:** 4829 N STATE ROAD 1, SUITE 1, HAGERSTOWN, IN 47346
- **Practice address phone:** (765) 489-4578
- **Practice address fax:** (765) 489-5135
- **Mailing address:** PO BOX 189, HAGERSTOWN, IN 47346
- **Mailing address phone:** (765) 489-4578
- **Mailing address fax:** (765) 489-5135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01045014 | IN | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 11/25/2008