PRAIRIE CREEK CLINIC is a clinic center in Montgomery, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRAIRIE CREEK CLINIC NPI is 1528231388. The provider is registered as an organization entity type.
The provider's business location address is:
RR 1 BOX 216
MONTGOMERY, IN
ZIP 47558-733
Phone: (812) 687-7263
Fax: (812) 687-7264
The provider's authorized official is Joseph A Calderazzo .
The authorized official title is Physician and has the following contact phone number (812) 687-7263.
The CLIA number assigned to this NPI record is 15D0361073 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/11/2008 and was last updated on 4/25/2008.