| Southern Indiana Community Health Care, Inc | |
|
420 W Longest St Paoli IN 47454-8821 | |
| (812) 723-3944 | |
| (812) 723-5292 |
| Full Name | Southern Indiana Community Health Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 420 W Longest St, Paoli, Indiana |
| Authorized Official Name and Position | Tonya Jones (BILLING MANAGER) |
| 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 420 W Longest St Po Box 270 Paoli IN 47454-8821 Ph: (812) 723-7993 | Southern Indiana Community Health Care, Inc 420 W Longest St Paoli IN 47454-8821 Ph: (812) 723-3944 |
| NPI Number | 1427171057 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 5799694360 |
|---|---|
| Medicare Enrollment ID | O20040525000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427171057 | NPI | - | NPPES |
| 100194830 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marlene Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487671012 PECOS PAC ID: 4385530963 Enrollment ID: I20040223000656 |
| Provider Name | Caroline Marie Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119239 PECOS PAC ID: 2567351471 Enrollment ID: I20040310001367 |
| Provider Name | Shannon M Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558463885 PECOS PAC ID: 9931162294 Enrollment ID: I20041108000616 |
| Provider Name | Brenda K Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114013083 PECOS PAC ID: 2567427453 Enrollment ID: I20041119000504 |
| Provider Name | Tricia Jayne Spoonmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902848583 PECOS PAC ID: 3971699356 Enrollment ID: I20071017000007 |
| Provider Name | Sasha L Newland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134294655 PECOS PAC ID: 4789773151 Enrollment ID: I20071207000779 |
| Provider Name | Nancy S Stirling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881784510 PECOS PAC ID: 8325197478 Enrollment ID: I20090519000564 |
| Provider Name | John L Eckard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083603187 PECOS PAC ID: 6406906098 Enrollment ID: I20090602000212 |
| Provider Name | Teresa J Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568795870 PECOS PAC ID: 6608917679 Enrollment ID: I20100113000291 |
| Provider Name | Yolanda J Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730298746 PECOS PAC ID: 3476695206 Enrollment ID: I20100116000245 |
| Provider Name | Curtis Carlyle Thill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912016858 PECOS PAC ID: 0143200972 Enrollment ID: I20100122000481 |
| Provider Name | Kristi Jo Nissley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811225717 PECOS PAC ID: 3577698349 Enrollment ID: I20100318000323 |
| Provider Name | Sheila Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629665 PECOS PAC ID: 9739338179 Enrollment ID: I20120928000706 |
| Provider Name | Jennifer D Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366790776 PECOS PAC ID: 5698929669 Enrollment ID: I20130129000555 |
| Provider Name | Brittany R Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699126912 PECOS PAC ID: 3274828256 Enrollment ID: I20160830001903 |
| Provider Name | Stephanie Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164979456 PECOS PAC ID: 5597046557 Enrollment ID: I20170105001195 |
| Provider Name | Amanda Sue Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841254 PECOS PAC ID: 5799057147 Enrollment ID: I20170818001578 |
| Provider Name | Sergio S. Sales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427430081 PECOS PAC ID: 9032422308 Enrollment ID: I20180212001420 |
| Provider Name | Melissa A Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508370867 PECOS PAC ID: 1052673712 Enrollment ID: I20180319000613 |
| Provider Name | Rebekah Kaylene Beaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912497058 PECOS PAC ID: 3779820436 Enrollment ID: I20190204001170 |
| Provider Name | Kathryn Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689154452 PECOS PAC ID: 4284973983 Enrollment ID: I20190225000476 |
| Provider Name | Lori Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992268981 PECOS PAC ID: 2769715093 Enrollment ID: I20190531000918 |
| Provider Name | Kelsey L Trueblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017002 PECOS PAC ID: 3173852480 Enrollment ID: I20190912000563 |
| Provider Name | Kara Beth Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780613232 PECOS PAC ID: 3577563386 Enrollment ID: I20200713003407 |
| Provider Name | Karen Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568990083 PECOS PAC ID: 1254603863 Enrollment ID: I20200817001222 |
| Provider Name | Tamra Jean Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831862333 PECOS PAC ID: 8022416254 Enrollment ID: I20211001001544 |
| Provider Name | Jaclynn Marie Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073283362 PECOS PAC ID: 7618366576 Enrollment ID: I20211115001292 |
| Provider Name | Mackenzie E Gaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023741402 PECOS PAC ID: 8820472608 Enrollment ID: I20220827000498 |
| Provider Name | Elisabeth Throop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219461 PECOS PAC ID: 9133503659 Enrollment ID: I20220901002274 |
| Provider Name | Ashley M. Mccurry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750602140 PECOS PAC ID: 5799947883 Enrollment ID: I20240318001272 |
| Provider Name | Charles Randel Bugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073788758 PECOS PAC ID: 7012357726 Enrollment ID: I20240429001933 |
| Provider Name | Tyler Lee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003674946 PECOS PAC ID: 1658712872 Enrollment ID: I20240517003155 |
| Provider Name | Heather Rochelle Kearby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588424477 PECOS PAC ID: 9830531813 Enrollment ID: I20240522001194 |
Southern Indiana Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-7991 | |
Southern Indiana Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-5292 | |
Indiana University Health Paoli Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 W. Longest Street, Paoli, IN 47454 Phone: 812-723-7440 |