| Bloom Health & Wellness LLC | |
|
815 W Main St Mitchell IN 47446-1307 | |
| (812) 583-4273 | |
| Not Available |
| Full Name | Bloom Health & Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 815 W Main St, Mitchell, Indiana |
| Authorized Official Name and Position | Stephanie Frye (OWNER) |
| Authorized Official Contact | 8125834273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Health & Wellness LLC 815 W Main St Mitchell IN 47446-1307 Ph: (812) 583-4273 | Bloom Health & Wellness LLC 815 W Main St Mitchell IN 47446-1307 Ph: (812) 583-4273 |
| NPI Number | 1497621288 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 03/30/2026 |
| Certification Date | 03/30/2026 |
| Medicare PECOS PAC ID | 7113492984 |
|---|---|
| Medicare Enrollment ID | O20260409000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497621288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Stephanie Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164979456 PECOS PAC ID: 5597046557 Enrollment ID: I20170105001195 |
Southern Indiana Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-992-5440 Fax: 812-992-5441 |
Indiana University Health Bloomington Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Teke Burton Dr, Mitchell, IN 47446 Phone: 812-849-3408 |