Organization
PROCARE HEALTHSPOT, LLC
Active
Parent organization
PROGRESSIVEHEALTH OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVEHEALTH OF INDIANA, LLC
Authorized official
KEITH BERSCH (MANAGER)
(812) 491-3856
Entity
Organization
Contact information
Practice address
3434 W STATE ROAD 66, ROCKPORT, IN 47635
(812) 491-3856
Mailing address
3434 W STATE ROAD 66, ROCKPORT, IN 47635
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/13/2018
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