Organization Name: | MEDCHECK GREENWOOD |
NPI Number: | 1033441522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS E. SCHNEKE (EXECUTIVE DIRECTOR) |
Mailing Address: | 1664 W Smith Valley Rd Greenwood |
State: | IN US |
Postal Code: | 461421550 |
Phone Number: | 3178877642 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | 0500050681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |