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 |
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› Verified 8 days ago
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 |