| Southern Indiana Community Health Care, Inc | |
|
5604 E White Oak Ln Marengo IN 47140-8413 | |
| (812) 365-3221 | |
| (812) 365-9502 |
| Full Name | Southern Indiana Community Health Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5604 E White Oak Ln, Marengo, Indiana |
| Authorized Official Name and Position | Tonya M Jones (BILLING MANAGER) |
| Authorized Official Contact | 8127237119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Community Health Care, Inc 420 W Longest St Po Box 270 Paoli IN 47454-8821 Ph: (812) 723-7119 | Southern Indiana Community Health Care, Inc 5604 E White Oak Ln Marengo IN 47140-8413 Ph: (812) 365-3221 |
| NPI Number | 1700909348 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700909348 | NPI | - | NPPES |
| 200122740A | Medicaid | IN | |
| CI7706 | Other | IN | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southern Indiana Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 |