Organization
SPICELAND PIKE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DINKLAGE (PRESIDENT)
(765) 529-4090
Entity
Organization
Contact information
Practice address
1685 S SPICELAND RD, NEW CASTLE, IN 47362-8954
(765) 529-4090
Mailing address
1685 S SPICELAND RD, NEW CASTLE, IN 47362-8954
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
01041007
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191328
BC/BS
IN
05
—
200056320B
—
IN
Enumeration date
07/23/2007
Last updated
10/21/2008
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