| Southern Indiana Community Health Care, Inc | |
|
127 Water Street Shoals IN 47581-4745 | |
| (812) 723-3944 | |
| (812) 723-7989 |
| Full Name | Southern Indiana Community Health Care, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 127 Water Street, Shoals, Indiana |
| Authorized Official Name and Position | Nancy Radcliff (CEO) |
| Authorized Official Contact | 8127233944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 127 Water Street Shoals IN 47581-4745 Ph: (812) 723-3944 |
| NPI Number | 1710573373 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710573373 | NPI | - | NPPES |
| 300017230A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Martin County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 229 High St, Shoals, IN 47581 Phone: 812-247-2733 Fax: 812-247-2373 |