| Rising Sun Modern Medicine | |
|
120 N Walnut St Suite A Rising Sun IN 47040-1276 | |
| (812) 438-1216 | |
| (812) 438-1252 |
| Full Name | Rising Sun Modern Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 120 N Walnut St, Rising Sun, Indiana |
| Authorized Official Name and Position | Katrina R Lock (NURSE PRACTITIONER, MANAGER) |
| Authorized Official Contact | 8122210332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Modern Medicine Po Box 26 Rising Sun IN 47040-0026 Ph: (812) 438-1216 | Rising Sun Modern Medicine 120 N Walnut St Suite A Rising Sun IN 47040-1276 Ph: (812) 438-1216 |
| NPI Number | 1356883243 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356883243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 71004143A (Indiana) | Primary |