Sullivan County Community Hospital - Medicare Primary Care in Sullivan, IN

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Sullivan County Community Hospital is a medicare enrolled primary clinic (Clinic/center) in Sullivan, Indiana. The current practice location for Sullivan County Community Hospital is 2186 N Hospital Blvd Ste 2, Sullivan, Indiana. For appointments, you can reach them via phone at (812) 268-3318. The mailing address for Sullivan County Community Hospital is Po Box 10, Sullivan, Indiana and phone number is () -.

Sullivan County Community Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497363303. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 268-3318.

Contact Information

Sullivan County Community Hospital
2186 N Hospital Blvd Ste 2
Sullivan
IN 47882-7654
(812) 268-3318
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSullivan County Community Hospital
SpecialityClinic/Center
Location2186 N Hospital Blvd Ste 2, Sullivan, Indiana
Authorized Official Name and PositionJennifer C Ridgway (DIRECTOR OF REVENUE CYCLE)
Authorized Official Contact8122684311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sullivan County Community Hospital
Po Box 10
Sullivan
IN 47882-0010

Ph: () -		Sullivan County Community Hospital
2186 N Hospital Blvd Ste 2
Sullivan
IN 47882-7654

Ph: (812) 268-3318

NPI Details:

NPI Number1497363303
Provider Enumeration Date07/16/2020
Last Update Date01/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2466497482
Medicare Enrollment IDO20200831000591

Medical Identifiers

Medical identifiers for Sullivan County Community Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497363303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sullivan County Community Hospital acts as a billing entity for following providers:
Provider NameWilliam E Heath
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942203104
PECOS PAC ID: 0547155137
Enrollment ID: I20040223000049
Provider NameTabitha Simpson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962584375
PECOS PAC ID: 5991896904
Enrollment ID: I20070806000537
Provider NameBillie J Thurman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285892794
PECOS PAC ID: 6406922319
Enrollment ID: I20080829000018
Provider NameTerri L Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053576405
PECOS PAC ID: 8820157415
Enrollment ID: I20081112000106
Provider NameDustin C Ellis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962658989
PECOS PAC ID: 3779630926
Enrollment ID: I20090406000246
Provider NameDebra A Vincent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053545418
PECOS PAC ID: 4385795103
Enrollment ID: I20090707000575
Provider NameMelissa L Reintjes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265769319
PECOS PAC ID: 3779622139
Enrollment ID: I20091125000283
Provider NameKathleen M Pirtle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770823387
PECOS PAC ID: 8426287418
Enrollment ID: I20140218000177
Provider NameStacey L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912947169
PECOS PAC ID: 6103056080
Enrollment ID: I20140221000739
Provider NameHolly Laue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255743076
PECOS PAC ID: 0648495549
Enrollment ID: I20140709001985
Provider NameSarah J Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013444819
PECOS PAC ID: 5395013338
Enrollment ID: I20170616000762
Provider NameJeanna Rennee Lisman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073042131
PECOS PAC ID: 8921378605
Enrollment ID: I20170728001135
Provider NameGloria Ann Shields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508324187
PECOS PAC ID: 1355684895
Enrollment ID: I20190523002194
Provider NameRobert Ealy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720664048
PECOS PAC ID: 2567879158
Enrollment ID: I20210326000976
Provider NameHallie Talpas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770176406
PECOS PAC ID: 5496154726
Enrollment ID: I20210519000298
Provider NameJennifer Ashley Gooch Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114574191
PECOS PAC ID: 0042609836
Enrollment ID: I20211117000441
Provider NameKevin Braun Flinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558019505
PECOS PAC ID: 0648659854
Enrollment ID: I20220617002221
Provider NameKayla Marie Kellams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730813015
PECOS PAC ID: 7315314200
Enrollment ID: I20221107000776
Provider NameAlexandria Clements
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417585837
PECOS PAC ID: 0648661124
Enrollment ID: I20230524002957
Provider NameTammy Lynn Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124808803
PECOS PAC ID: 3476901018
Enrollment ID: I20231121001098
Provider NameAmy Nicole Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578344750
PECOS PAC ID: 5193174308
Enrollment ID: I20231213003323

Reviews and Comments


Clinic/Center in Sullivan, IN

Mso Clinics, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-2650
Fpa Quickcare
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-6292    
Sullivan County Community Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-3318    
Sullivan County Auditor
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 27 S Main St, Sullivan, IN 47882
Phone: 812-268-0224    Fax: 812-268-0423
Family Practice Associates Of Sullivan County
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882
Phone: 812-268-3318    
Lakeside Family Medical
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2186 N Hospital Blvd #2, Sullivan, IN 47882
Phone: 812-268-3318    Fax: 812-268-4017

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.