W. Lafayette Health Center
W. Lafayette Health Center is a Primary Care Clinic/Center in W Lafayette, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2701B Kent AveW Lafayette, IN 47906-1350
Phone: (812) 308-8400
Fax: (765) 600-9796
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1952924896 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Proactive MSO, LLC |
| Authorized official | Mark Kemble — Vp Of Medical Affairs · (864) 501-0815 |
| Other names | Lafayette Dpc-1; Lafayette Dpc-1 |
| NPI enumerated | May 27, 2020 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 28, 2020 |
| Mailing address | 10 Centimeters Dr, Mauldin, SC 29662-3278 |