Blue Elk Family Clinic LLC
Organization Active NPI Family Medicine Physician · Nashville, IN
NPI 1104499649 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1104499649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUE ELK FAMILY CLINIC LLC
- Practice address
- 50 E Willow St Ste C
Nashville, IN 47448 - Phone
- (812) 200-8265
- Fax
- (833) 972-1963
- NPI assigned
- Jul 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence David Sanchez, MD
- Title
- Owner/Physician
- Phone
- (812) 200-8265
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
50 E Willow St Ste C
Nashville, IN 47448
Mailing address
8410 S 575 W
Morgantown, IN 46160-8492
Phone (414) 640-4945
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300046197 | Medicaid | IN | |
| 000001485581 | Other | ANTHEM PROVIDER ID |
Other names
- Blue Elk Family Clinic
Other providers in Nashville, IN
- Leann Taylor Aldrich
- Tim Lloyd Alward
- Lynn Austin
- Betty J Barr
- Rhea Ellen Boley
- Sara Brock
- Brown County Health & Living Community
- Brown County Health Support Clinic
- Brown County Schools
All providers in Nashville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.