| Greene County Health, Inc | |
|
326 E Main St Jasonville IN 47438-1510 | |
| (812) 665-9000 | |
| (812) 665-9009 |
| Full Name | Greene County Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 326 E Main St, Jasonville, Indiana |
| Authorized Official Name and Position | Crystal Plano (CFO) |
| Authorized Official Contact | 8126994153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene County Health, Inc 1210 N 1000 W Linton IN 47441-5013 Ph: (812) 699-4153 | Greene County Health, Inc 326 E Main St Jasonville IN 47438-1510 Ph: (812) 665-9000 |
| NPI Number | 1386042653 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 7214226844 |
|---|---|
| Medicare Enrollment ID | O20170712003419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386042653 | NPI | - | NPPES |
| 201359410A | Medicaid | IN | |
| 1194191536 | Other | IN | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Shakamak Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 W Main St, Jasonville, IN 47438 Phone: 812-665-9000 |