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GREENE COUNTY HEALTH INC NPI 1992094833


NPI Information

NPI: 1992094833
Provider Name: GREENE COUNTY HEALTH, INC

Doing Business As: GREENE COUNTY HEALTH BLOOMFIELD

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D0685100

Address:
55 N JUDGE ST
BLOOMFIELD, IN
ZIP 47424
Phone: (812) 384-3508
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GREENE COUNTY HEALTH, INC is a federally qualified health center (fqhc) clinic center in Bloomfield, IN. GREENE COUNTY HEALTH, INC NPI is 1992094833. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Greene County Health Bloomfield.

The provider's business location address is:

55 N JUDGE ST
BLOOMFIELD, IN
ZIP 47424-231
Phone: (812) 384-3508
Fax: (812) 384-3083

The provider's authorized official is Crystal Plano .
The authorized official title is Cfo and has the following contact phone number (812) 699-4153.

The CLIA number assigned to this NPI record is 15D0685100 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 2/2/2018.


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
1207Q00000XFamily Medicine01030118AINDIANANo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
11194191536OTHERINDIANANPI
2IN2985OTHERINDIANAMEDICARE PART B (GROUP)
3151006OTHERINDIANAMEDICARE FQHC
41659352995OTHERINDIANANPI
51326142696OTHERINDIANANPI
61063744456OTHERINDIANANPI
7201359410DMEDICAIDINDIANA

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
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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.

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