Organization
KOSCIUSKO COUNTY FREE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN KOSTRO MPH (PRESIDENT)
(574) 268-1917
Entity
Organization
Contact information
Practice address
7822 E. EPWORTH FOREST ROAD, NORTH WEBSTER UNITED METHODIST CHURCH, NORTH WEBSTER, IN 46555
(574) 834-2871
Mailing address
22 EMS C27C2 LN, WARSAW, IN 46582-9067
(574) 268-1917
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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