Churubusco Family Medicine & Urgent Care

Organization Active NPI Family Medicine Physician · Churubusco, IN

NPI 1962562637 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1962562637
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CHURUBUSCO FAMILY MEDICINE & URGENT CARE
Practice address
202 West Whitley Street
Churubusco, IN 46723
Phone
(260) 693-3700
Fax
(260) 693-1005
NPI assigned
Dec 11, 2006
Organization subpart
No

Authorized official

Name
Ms. Julie Bannister
Title
Office Manager
Phone
(260) 693-3700

National Provider Directory

Locations

202 W Whitley St
Churubusco, IN 46723
Phone (260) 693-3700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

202 West Whitley Street
Churubusco, IN 46723

Mailing address

202 West Whitley Street
Churubusco, IN 46723
Phone (260) 693-3700

Other providers in Churubusco, IN

All providers in Churubusco, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.