Logansport Clinic for Women
NPI #1376767178 in Logansport, Indiana
Provider Information
- NPI Number
- 1376767178
- Entity Type
- Organization
- Organization Name
- Logansport Clinic for Women
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEMORIAL HOSPITAL
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 1025 MICHIGAN AVE
- Address 2
- SUITE 115
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1593
- Phone
- (574) 722-3566
Authorized Official
- Name
- MRS. SANDRA M. ELLIOT, CHC
- Title
- CORPORATE COMPLIANCE OFFICER
- Phone
- (574) 753-1767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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