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MARION FAMILY PRACTICE LLC NPI 1730128018


NPI Information

NPI: 1730128018
Provider Name: MARION FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D2216241

Address:
1391 N BALDWIN AVE
MARION, IN
ZIP 46952
Phone: (765) 662-2534
Get Directions

MARION FAMILY PRACTICE LLC is a family medicine in Marion, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARION FAMILY PRACTICE LLC NPI is 1730128018. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1391 N BALDWIN AVE
MARION, IN
ZIP 46952-913
Phone: (765) 662-2534
Fax: (765) 671-7793

The provider's authorized official is James M Orrell .
The authorized official title is Owner/treasurer and has the following contact phone number (765) 671-7740.

The CLIA number assigned to this NPI record is 15D2216241 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/5/2006 and was last updated on 3/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100122920MEDICAIDINDIANA
2215750MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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