PHYSICIANS MEDICAL CENTER LLC NPI 1801314455

NPI Information

  • NPI: 1801314455
  • Provider Name: PHYSICIANS MEDICAL CENTER LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 15D1083834
  • Address: 311 E CLIFTY DRIVE
    MADISON, IN
    ZIP 47250
  • Phone: (812) 274-2742

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NPI Details

PHYSICIANS MEDICAL CENTER LLC is a general practice in Madison, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIANS MEDICAL CENTER LLC NPI is 1801314455. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 E CLIFTY DRIVE
MADISON, IN
ZIP 47250
Phone: (812) 274-2742
Fax: (812) 274-2899

The provider's authorized official is Rebecca Henry .
The authorized official title is Credentialing Specialist and has the following contact phone number (812) 590-6936.

The CLIA number assigned to this NPI record is 15D1083834 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 8/1/2018.

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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineNo
3261QU0200XClinic/CenterUrgent CareNo
4261QX0100XClinic/CenterOccupational MedicineNo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363L00000XNurse PractitionerNo
8208D00000XGeneral PracticeYes

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: 11/21/2025

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