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NPI Code Detail

MEDICARE: NEW CASTLE CLINIC INC

MEDICARE: NEW CASTLE CLINIC INC
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
1207V00000XObstetrics & Gynecology Physician
2207X00000XOrthopaedic Surgery Physician
3208600000XSurgery Physician
4208D00000XGeneral Practice Physician
5207Q00000XFamily Medicine Physician
6363A00000XPhysician Assistant
7363L00000XNurse Practitioner
8363LA2200XAdult Health Nurse Practitioner
9207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801964960
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW CASTLE CLINIC INC
Provider Business Mailing Address
First Line : PO BOX 530
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-0530
Country : US
Telephone Number : 765-529-0780
Fax Number : 765-529-3554
Provider Business Practice Location Address
First Line : 1007 N 16TH ST
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-4320
Country : US
Telephone Number : 765-529-0780
Fax Number : 765-529-3554
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. BRIAN RING
Credential :
Telephone Number : 765-521-1515
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/17/2022

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Directions to “NEW CASTLE CLINIC INC ” Practice Location

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