Organization
CHARLESTOWN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLAM E HOKE MD (MEMBER)
(812) 256-1106
Entity
Organization
Contact information
Practice address
3901 COUNTY ROAD 160, CHARLESTOWN, IN 47111-9181
(812) 406-6897
(812) 256-3577
Mailing address
3901 COUNTY ROAD 160, CHARLESTOWN, IN 47111-9181
(812) 406-6897
(812) 256-3577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01061465A
IN
363L00000X
Nurse Practitioner
71003560A
IN
363LF0000X
Family Nurse Practitioner
71002399A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549269
ANTHEM GROUP NUMBER
IN
05
—
20089454A
—
IN
Enumeration date
11/19/2007
Last updated
04/18/2019
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