Organization
CARDINAL HEALTH PARTNERS, LLC
Active
Other names
Blackford Community Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAN VANGETS (COO PHYSICIAN NETWORK SERVICES)
(765) 751-3311
Entity
Organization
Contact information
Practice address
400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-5776
(765) 348-3865
Mailing address
400 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-5776
(765) 348-3865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378580A
—
IN
Enumeration date
07/06/2006
Last updated
06/18/2008
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