Organization
FC INDIANA, LLC
Active
Other names
First Care Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MICHAEL DEANE (VP FINANCE)
(615) 600-3478
Entity
Organization
Contact information
Practice address
2418 16TH ST, BEDFORD, IN 47421-3049
(812) 508-8683
(812) 508-8684
Mailing address
PO BOX 40166, NASHVILLE, TN 37204-0166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/11/2024
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