Provider Demographics
NPI:1962438390
Name:ADAMS COUNTY FAMILY PRACTICE, P.C.
Entity type:Organization
Organization Name:ADAMS COUNTY FAMILY PRACTICE, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-589-3993
Mailing Address - Street 1:1521 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BERNE
Mailing Address - State:IN
Mailing Address - Zip Code:46711-1796
Mailing Address - Country:US
Mailing Address - Phone:260-589-3993
Mailing Address - Fax:260-589-2070
Practice Address - Street 1:1521 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BERNE
Practice Address - State:IN
Practice Address - Zip Code:46711-1796
Practice Address - Country:US
Practice Address - Phone:260-589-3993
Practice Address - Fax:260-589-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
401780Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER