Organization
SWITZERLAND COUNTY AUDITOR'S OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ANDREW FILLENWARTH APRN,BC (NURSE PRACTITIONER)
(812) 427-4038
Entity
Organization
Contact information
Practice address
1190 W MAIN ST, STE 300, VEVAY, IN 47043-3639
(812) 427-4038
(812) 427-3246
Mailing address
1190 W MAIN ST, STE 300, VEVAY, IN 47043-3639
(812) 427-4038
(812) 427-3246
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254390A
—
IN
Enumeration date
05/31/2005
Last updated
06/11/2010
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