NPI | 1447206248 |
---|---|
Doing Business As | PCMH WOUND CARE CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN HERWIG CEO 812-547-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IN 050050641) |
Additional Taxonomies | 213E00000X Podiatrist |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-11-16 |