Organization
PRIMARY CARE MEDICAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KENT EHMKE (CEO/ OWNER)
(317) 410-9119
Entity
Organization
Contact information
Practice address
1089 3RD AVE SW, CARMEL, IN 46032-7584
(317) 410-9119
Mailing address
1089 3RD AVE SW, CARMEL, IN 46032-7584
(317) 410-9119
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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