GREENE COUNTY GENERAL HOSPITAL NPI 1821585563

NPI Information

NPI: 1821585563
Provider Name: GREENE COUNTY GENERAL HOSPITAL

Doing Business As: MY BLOOMFIELD CLINIC

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

Specialization: Rural Health

Address:
55 N JUDGE ST
BLOOMFIELD, IN
ZIP 47424
Phone: (812) 847-4481
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GREENE COUNTY GENERAL HOSPITAL is a rural health clinic center in Bloomfield, IN. GREENE COUNTY GENERAL HOSPITAL NPI is 1821585563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Bloomfield Clinic.

The provider's business location address is:

55 N JUDGE ST
BLOOMFIELD, IN
ZIP 47424
Phone: (812) 847-4481
Fax: (844) 658-7526

The provider's authorized official is Wendy Spurlin .
The authorized official title is Executive Assistant and has the following contact phone number (812) 847-5212.

The CLIA number assigned to this NPI record is 15D0685103 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 7/10/2019.

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	174400000X	Specialist		180050611	INDIANA	No
2	1041C0700X	Social Worker	Clinical	180050611	INDIANA	No
3	207Q00000X	Family Medicine		180050611	INDIANA	No
4	207V00000X	Obstetrics & Gynecology		180050611	INDIANA	No
5	208000000X	Pediatrics		180050611	INDIANA	No
6	363A00000X	Physician Assistant		180050611	INDIANA	No
7	363LF0000X	Nurse Practitioner	Family	180050611	INDIANA	No
8	261QR1300X	Clinic/Center	Rural Health	180050611	INDIANA	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	300024488	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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