Organization
CARDINAL HEALTH PARTNERS, LLC
Active
Other names
CHS Health and Diagnostic Center of Upland
Organization subpart
No
Provider details
NPI number
Authorized official
JAN VANGETS (COO PHYSICIAN NETWORK SERVICES)
(765) 751-3311
Entity
Organization
Contact information
Practice address
1809 S MAIN ST, UPLAND, IN 46989
(765) 998-6200
(765) 998-6204
Mailing address
PO BOX 690, UPLAND, IN 46989-0690
(765) 998-6200
(765) 998-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132640A
—
IN
Enumeration date
07/06/2006
Last updated
06/18/2008
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