MEDICARE: MANCHESTER CLINIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1265506596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANCHESTER CLINIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 30
Second Line	:
City	:	NORTH MANCHESTER
State	:	IN
Zip	:	46962-0030
Country	:	US
Telephone Number	:	260-982-2102
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 N WAYNE ST
Second Line	:
City	:	NORTH MANCHESTER
State	:	IN
Zip	:	46962-1001
Country	:	US
Telephone Number	:	260-982-2102
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BETTY J MCLAIN
Credential	:
Telephone Number	:	260-982-2102

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/16/2008

Similar Medicare Providers

1922515907 — PARKVIEW WABASH HOSPITAL, INC.
Practice Location Address:

1104 N WAYNE ST
NORTH MANCHESTER, IN
46962-1001

Practice Phone: 260-982-2102
Practice Fax:

1255312187 — DR. RUSSELL GLENDON COULTER-KERN PH.D.
Practice Location Address:

1118 N WAYNE ST
NORTH MANCHESTER, IN
46962-1001

Practice Phone: 260-982-5349
Practice Fax:

1285613919 — PAUL H. FRY-MILLER PA-C
Practice Location Address:

1104 N WAYNE ST
NORTH MANCHESTER, IN
46962-1001

Practice Phone: 260-982-2102
Practice Fax: 260-982-2105

1134108541 — PAMELA S HIGGINS MD
Practice Location Address:

1104 N WAYNE ST
N MANCHESTER, IN
46962-1001

Practice Phone: 260-982-2102
Practice Fax: 260-982-2105

1861471278 — ERIC D REICHENBACH MD
Practice Location Address:

1104 N WAYNE ST
N MANCHESTER, IN
46962-1001

Practice Phone: 260-982-2102
Practice Fax: 260-982-2105

1356622245 — TARA L VOGEL NP-C
Practice Location Address:

1104 N WAYNE ST
NORTH MANCHESTER, IN
46962-1001

Practice Phone: 260-982-2102
Practice Fax: 260-982-2105

Directions to “MANCHESTER CLINIC, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.