| Bicknell Medical Center Professional Corporation | |
|
510 W 11th St Bicknell IN 47512-9626 | |
| (812) 735-4040 | |
| (812) 735-3332 |
| Full Name | Bicknell Medical Center Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 510 W 11th St, Bicknell, Indiana |
| Authorized Official Name and Position | Kimberly R Kirkwood (BUSINESS MANAGER) |
| Authorized Official Contact | 8127354040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bicknell Medical Center Professional Corporation 510 W 11th St Bicknell IN 47512-9626 Ph: (812) 735-4040 | Bicknell Medical Center Professional Corporation 510 W 11th St Bicknell IN 47512-9626 Ph: (812) 735-4040 |
| NPI Number | 1093700577 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 04/30/2014 |
| Medicare PECOS PAC ID | 4880720374 |
|---|---|
| Medicare Enrollment ID | O20100414000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093700577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tom S Kirkwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801894621 PECOS PAC ID: 1951437441 Enrollment ID: I20100414000360 |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10890 N State Road 159 Rm E20, Bicknell, IN 47512 Phone: 812-885-2720 Fax: 812-885-2723 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E 4th St Fl 1, Bicknell, IN 47512 Phone: 812-885-2720 Fax: 812-885-2723 |