| Southern Indiana Community Health Care, Inc | |
|
200 W Wilson St Orleans IN 47452-1007 | |
| (812) 723-3944 | |
| (812) 723-7989 |
| Full Name | Southern Indiana Community Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 W Wilson St, Orleans, Indiana |
| Authorized Official Name and Position | Nancy Radcliff (CEO) |
| Authorized Official Contact | 8127233944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Community Health Care, Inc Po Box 270 Paoli IN 47454-0270 Ph: (812) 723-3944 | Southern Indiana Community Health Care, Inc 200 W Wilson St Orleans IN 47452-1007 Ph: (812) 723-3944 |
| NPI Number | 1356911390 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 5799694360 |
|---|---|
| Medicare Enrollment ID | O20220614001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356911390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
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