Provider Demographics
NPI:1386051811
Name:GREENFIELD FIRST CARE, LLP
Entity type:Organization
Organization Name:GREENFIELD FIRST CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-462-9909
Mailing Address - Street 1:10 W BOYD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 W BOYD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1401
Practice Address - Country:US
Practice Address - Phone:317-462-9909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty