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Organization
MADISON COUNTY COMMUNITY HEALTH CENTERS, INC.
Active
Organization
MADISON COUNTY COMMUNITY HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J MALONE (CEO/PRESIDENT)
(765) 641-0255
Entity
Organization
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
(765) 298-6001
Mailing address
PO BOX 349, ANDERSON, IN 46015-0349
(765) 641-0255
(765) 298-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20042205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200271310A
—
IN
05
—
200271310B
—
IN
Enumeration date
05/21/2013
Last updated
05/21/2013
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