Organization
REDI-CARE INC P C
Active
Other names
Daryl L. Hershberger, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL L. HERSHBERGER MD (OWNER)
(260) 463-2468
Entity
Organization
Contact information
Practice address
2120 N DETROIT ST, LAGRANGE, IN 46761-1147
(260) 463-2468
(260) 463-4237
Mailing address
2120 N DETROIT ST, LAGRANGE, IN 46761-1147
(260) 463-2468
(260) 463-4237
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
01037748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299462
ANTHEM
IN
05
—
200108370A
—
IN
01
—
308606708
TRICARE
IN
01
—
4909200001
DMERC
IN
01
—
8757
PHP
IN
01
—
P00249946
RAILROAD MEDICARE
IN
Enumeration date
08/31/2006
Last updated
07/27/2022
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