RISING SUN MODERN MEDICINE NPI 1356883243

NPI Information

  • NPI: 1356883243
  • Provider Name: RISING SUN MODERN MEDICINE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 120 N WALNUT ST
    SUITE A
    RISING SUN, IN
    ZIP 47040
  • Phone: (812) 438-1216

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NPI Details

RISING SUN MODERN MEDICINE is a primary care clinic center in Rising Sun, IN. RISING SUN MODERN MEDICINE NPI is 1356883243. The provider is registered as an organization entity type.

The provider's business location address is:

120 N WALNUT ST
SUITE A
RISING SUN, IN
ZIP 47040-276
Phone: (812) 438-1216
Fax: (812) 438-1252

The provider's authorized official is Katrina R Lock .
The authorized official title is Nurse Practitioner, Manager and has the following contact phone number (812) 221-0332.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.

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
1261QP2300XClinic/CenterPrimary Care71004143AINDIANAYes

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: 3/30/2025

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