Organization
FAMILY FOOT AND ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY L HASH DPM (PRESIDENT)
(812) 339-2446
Entity
Organization
Contact information
Practice address
417 S. LANDMARK AVENUE, BLOOMINGTON, IN 47403-5003
(812) 339-2446
(812) 330-9508
Mailing address
417 S. LANDMARK AVENUE, BLOOMINGTON, IN 47403-5003
(812) 339-2446
(812) 330-9508
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089196
BLUE CROSS
IN
05
—
100184940
—
IN
05
—
100184940A
—
IN
01
—
P00327018
PALMETTO GBA
IN
Enumeration date
06/04/2007
Last updated
03/07/2023
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