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GREENE COUNTY GENERAL HOSPITAL LLC NPI 1720360019


NPI Information

NPI: 1720360019
Provider Name: GREENE COUNTY GENERAL HOSPITAL LLC

Doing Business As: GREENE COUNTY HEALTH-LINTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D0982482

Address:
1210 N 1000 W
LINTON, IN
ZIP 47441
Phone: (812) 847-7005
Get Directions

GREENE COUNTY GENERAL HOSPITAL LLC is a family medicine in Linton, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GREENE COUNTY GENERAL HOSPITAL LLC NPI is 1720360019. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Greene County Health-linton.

The provider's business location address is:

1210 N 1000 W
LINTON, IN
ZIP 47441-013
Phone: (812) 847-7005
Fax: (812) 847-5305

The provider's authorized official is Laurie Fenstermacher .
The authorized official title is Credentialing Mgr and has the following contact phone number (570) 366-4606.

The CLIA number assigned to this NPI record is 15D0982482 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2011 and was last updated on 12/11/2014.


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
1207Q00000XFamily Medicine02001988AINDIANANo
2207VX0000XObstetrics & GynecologyObstetrics02001987AINDIANANo
3207VX0000XObstetrics & GynecologyObstetrics02001988AINDIANANo
4261QR1300XClinic/CenterRural Health02001987AINDIANANo
5261QR1300XClinic/CenterRural Health02001988AINDIANANo
6261QR1300XClinic/CenterRural Health10001157BINDIANANo
7363A00000XPhysician Assistant10001157BINDIANANo
8207Q00000XFamily Medicine02001987AINDIANAYes

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
1204330MEDICARE PININDIANA
2175338MEDICARE PIN
3200153250MEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.