# CARDINAL HEALTH PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blackford Community Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801827621
- **Authorized official:** JAN VANGETS (COO PHYSICIAN NETWORK SERVICES)
- **Authorized official phone:** (765) 751-3311

## Contact information

- **Practice address:** 400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
- **Practice address phone:** (765) 348-5776
- **Practice address fax:** (765) 348-3865
- **Mailing address:** 400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
- **Mailing address phone:** (765) 348-5776
- **Mailing address fax:** (765) 348-3865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200378580A | — | IN |