| Indiana University Health Southern Indiana Physicians, Inc | |
|
9 N Crane Ave Spencer IN 47460-1507 | |
| (812) 829-2237 | |
| (812) 829-6342 |
| Full Name | Indiana University Health Southern Indiana Physicians, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9 N Crane Ave, Spencer, Indiana |
| Authorized Official Name and Position | Marlon B Fishel (ADMINISTRATION, IU HEALTH SIP) |
| Authorized Official Contact | 8123535866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health Southern Indiana Physicians, Inc Po Box 1329 Bloomington IN 47402-1329 Ph: (812) 829-2237 | Indiana University Health Southern Indiana Physicians, Inc 9 N Crane Ave Spencer IN 47460-1507 Ph: (812) 829-2237 |
| NPI Number | 1366600231 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366600231 | NPI | - | NPPES |
| 200133950A | Medicaid | IN | |
| CI4187 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Proactive Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W State Highway 46, Spencer, IN 47460 Phone: 812-828-7596 | |
Indiana Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Bob Babbs Dr, Spencer, IN 47460 Phone: 812-652-1700 |