SOUTHERN INDIANA COMMUNITY HEALTH CARE INC NPI 1427768647

NPI Information

NPI: 1427768647
Provider Name: SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D0917838

Address:
2759 STATE ROAD 37
MITCHELL, IN
ZIP 47446
Phone: (812) 992-5440
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SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Mitchell, IN. SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC NPI is 1427768647. The provider is registered as an organization entity type.

The provider's business location address is:

2759 STATE ROAD 37
MITCHELL, IN
ZIP 47446-016
Phone: (812) 992-5440
Fax: (812) 992-5441

The provider's authorized official is Nancy Radcliff .
The authorized official title is Ceo and has the following contact phone number (812) 723-3944.

The CLIA number assigned to this NPI record is 15D0917838 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/29/2022 and was last updated on 11/29/2022.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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