| Indiana University Health Paoli Inc | |
|
560 W. Longest Street Paoli IN 47454-9670 | |
| (812) 723-7440 | |
| Not Available |
| Full Name | Indiana University Health Paoli Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 560 W. Longest Street, Paoli, Indiana |
| Authorized Official Name and Position | Michael L Craig (CFO) |
| Authorized Official Contact | 8123539171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health Paoli Inc 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: () - | Indiana University Health Paoli Inc 560 W. Longest Street Paoli IN 47454-9670 Ph: (812) 723-7440 |
| NPI Number | 1679182190 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/31/2020 |
| Medicare PECOS PAC ID | 2668426016 |
|---|---|
| Medicare Enrollment ID | O20200813000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679182190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |
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 |