Trustees of Purdue University

NPI #1598111791 in Wolcott, Indiana

Provider Information

NPI Number
1598111791
Entity Type
Organization
Organization Name
Trustees of Purdue University
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 6, 2016
Last Updated
Apr 18, 2022

Practice Location

Address
128 W MARKET ST
State
Indiana
ZIP Code
47995-8130
Phone
(219) 747-2067

Authorized Official

Name
MR. DANIEL J LAYMAN
Title
EXECUTIVE DIRECTOR
Phone
(765) 564-3016

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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