Organization
ST CLARE HEALTH NETWORK
Active
Parent organization
ST CLARE MEDICAL CENTER
Other names
Eastside Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CLARE MEDICAL CENTER
Authorized official
JIM SIEMERS (EXECUTIVE DIRECTOR)
(765) 362-2800
Entity
Organization
Contact information
Practice address
2056 LEBANON RD, CRAWFORDSVILLE, IN 47933-2143
(765) 361-9923
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
Enumeration date
11/17/2006
Last updated
07/24/2008
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