LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC NPI 1881843522

NPI Information

NPI: 1881843522
Provider Name: LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC

Doing Business As: FRENCH LICK FAMILY MEDICINE

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

Specialization: Rural Health

Address:
679 S STATE ROAD 145
FRENCH LICK, IN
ZIP 47432
Phone: (812) 936-6400
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LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC is a rural health clinic center in French Lick, IN. LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC NPI is 1881843522. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As French Lick Family Medicine.

The provider's business location address is:

679 S STATE ROAD 145
FRENCH LICK, IN
ZIP 47432-328
Phone: (812) 936-6400
Fax: (812) 936-6402

The provider's authorized official is Edward Kyle Bennett .
The authorized official title is President/ceo and has the following contact phone number (812) 996-0507.

The CLIA number assigned to this NPI record is 15D1088554 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2008 and was last updated on 12/8/2020.

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	207Q00000X	Family Medicine				No
2	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	200048850V	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: 4/28/2024

NPI Synchronization or Removal

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