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FAMILY PRACTICE OF JAY COUNTY
NPI 1982749867
Family Medicine in Portland, IN

Active since February 20, 2007
428 WEST VOTAW STREET, STE. A, PORTLAND, IN 47371(260) 726-8822(260) 726-7857 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Practice Of Jay County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PRACTICE OF JAY COUNTY (NPI 1982749867) is a healthcare organization registered as a family medicine in Portland, Indiana and active in the NPI registry since February 2007. The organization lists Mark Allen Haggenjos, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1982749867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE OF JAY COUNTY
Location Address428 WEST VOTAW STREET, STE. APortland, IN 47371-0710
Mailing AddressPo Box 710Portland, IN 47371-0710 · (260) 726-8822 · Fax (260) 726-7857
Phone(260) 726-8822
Fax(260) 726-7857
Organization SubpartYesParent: Jay County Hospital
Authorized OfficialMark Allen HaggenjosManaging Physician · (260) 726-8822
Enumeration DateFebruary 20, 2007
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1982749867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
428 WEST VOTAW STREET, STE. A, Portland, IN 47371
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Other Identifiers 4

Medicare ID-Type Unspecified179970IN
Medicare PIN259350IN
Medicaid200326550IN
Medicaid200923150IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Practice Of Jay County's NPI number?

The NPI number for Family Practice Of Jay County is 1982749867. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Family Practice Of Jay County located?

Family Practice Of Jay County is located at 428 West Votaw Street, Ste. A, Portland, IN 47371. The listed phone number is (260) 726-8822.

What is Family Practice Of Jay County's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Family Practice Of Jay County was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.