Organization
MADISON COUNTY COMMUNITY HEALTH CENTER
Active
Parent organization
MADISON COUNTY COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON COUNTY COMMUNITY HEALTH CENTER
Authorized official
ANTHONY MALONE (CEO)
(765) 641-7499
Entity
Organization
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
(765) 356-4647
Mailing address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
(765) 356-4647
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200271310A
—
IN
Enumeration date
05/05/2016
Last updated
05/05/2016
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