Chs Indiana Medical, P.c.
NPI #1306196282 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1306196282
- Entity Type
- Organization
- Organization Name
- Chs Indiana Medical, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHS HEALTH SERVICES, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 18, 2012
- Last Updated
- Aug 17, 2016
Practice Location
- Address
- 1400 W STATE ST
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-3438
- Phone
- (703) 760-0700
Authorized Official
- Name
- STUART CLARK
- Title
- EXECUTIVE VP
- Phone
- (615) 577-5890
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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