Organization
TRUSTEES OF PURDUE UNIVERSITY
Active
Other names
Family Health Clinic of Wolcott
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J LAYMAN (EXECUTIVE DIRECTOR)
(765) 564-3016
Entity
Organization
Contact information
Practice address
128 W MARKET ST, WOLCOTT, IN 47995-8130
(219) 747-2067
(219) 747-2068
Mailing address
901 PRINCE WILLIAM RD, SUITE A, DELPHI, IN 46923-1758
(765) 564-3016
(765) 564-2608
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
04/18/2022
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