| Rising Sun Medical Center Inc | |
|
230 6th St Rising Sun IN 47040-1114 | |
| (812) 438-2555 | |
| (812) 438-1236 |
| Full Name | Rising Sun Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 6th St, Rising Sun, Indiana |
| Authorized Official Name and Position | Tom Fuller (PRESIDENT) |
| Authorized Official Contact | 8125378200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Medical Center Inc Po Box 639352 Cincinnati OH 45263-9352 Ph: (812) 537-8241 | Rising Sun Medical Center Inc 230 6th St Rising Sun IN 47040-1114 Ph: (812) 438-2555 |
| NPI Number | 1124072137 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124072137 | NPI | - | NPPES |
| 1619948015 | Other | IN | INDIVIDUAL NPI |
| 1841262011 | Other | IN | INDIVIDUAL NPI |
| 000000037297 | Other | IN | ANTHEM |
| 200203240A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Rising Sun Modern Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Suite A, Rising Sun, IN 47040 Phone: 812-438-1216 Fax: 812-438-1252 |