Organization
ST CLARE MEDICAL CENTER
Active
Other names
St Clare Neighborhood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SIEMERS (EXECUTIVE DIRECTOR)
(765) 362-2800
Entity
Organization
Contact information
Practice address
407 E MARKET ST, CRAWFORDSVILLE, IN 47933-1852
(765) 364-4424
Mailing address
1710 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(765) 362-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264430A
—
IN
Enumeration date
11/17/2006
Last updated
07/24/2008
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