| Greene County Health Bloomfield | |
|
55 N Judge St Bloomfield IN 47424-1231 | |
| (812) 384-3508 | |
| (812) 384-3083 |
| Full Name | Greene County Health Bloomfield |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 55 N Judge St, Bloomfield, Indiana |
| Authorized Official Name and Position | Crystal Plano (CFO) |
| Authorized Official Contact | 8126994153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene County Health Bloomfield 1210 N 1000 W Linton IN 47441-5013 Ph: (812) 384-3508 | Greene County Health Bloomfield 55 N Judge St Bloomfield IN 47424-1231 Ph: (812) 384-3508 |
| NPI Number | 1992094833 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992094833 | NPI | - | NPPES |
| 1063744456 | Other | IN | NPI |
| 1326142696 | Other | IN | NPI |
| 151006 | Other | IN | MEDICARE FQHC |
| IN2985 | Other | IN | MEDICARE PART B (GROUP) |
| 201359410D | Medicaid | IN | |
| 1659352995 | Other | IN | NPI |
| 1194191536 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01030118A (Indiana) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Greene County Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 W Main St, Bloomfield, IN 47424 Phone: 812-384-0044 Fax: 812-384-0040 |