SOUTHERN INDIANA COMMUNITY HEALTH CARE NPI 1174772651

NPI Information

NPI: 1174772651
Provider Name: SOUTHERN INDIANA COMMUNITY HEALTH CARE

Doing Business As: COMPREHENSIVE HEALTH CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
420 W LONGEST ST
PAOLI, IN
ZIP 47454
Phone: (812) 723-3944
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SOUTHERN INDIANA COMMUNITY HEALTH CARE is a rural health clinic center in Paoli, IN. SOUTHERN INDIANA COMMUNITY HEALTH CARE NPI is 1174772651. The provider is registered as an organization entity type.
The provider Is Doing Business As Comprehensive Health Care.

The provider's business location address is:

420 W LONGEST ST
PAOLI, IN
ZIP 47454-821
Phone: (812) 723-3944
Fax: (812) 723-7991

The provider's authorized official is Tonya M Jones .
The authorized official title is Billing Manager and has the following contact phone number (812) 723-7119.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 8/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200937580	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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