Organization
DEXTER HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FARNHAM RPH. (CO-OWNER)
(574) 722-5678
Entity
Organization
Contact information
Practice address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5678
(574) 753-5597
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5678
(574) 753-5597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000792A
IN
335E00000X
Prosthetic/Orthotic Supplier
CFM00432
IN
335E00000X
Prosthetic/Orthotic Supplier
CFTS0099
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175590A
—
IN
Enumeration date
06/06/2012
Last updated
06/06/2012
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