| St. Luke's Medical Ministry | |
|
1441 N Gardner Scottsburg IN 47170-0677 | |
| (812) 752-4055 | |
| (812) 752-5835 |
| Full Name | St. Luke's Medical Ministry |
|---|---|
| Speciality | Clinic/Center |
| Location | 1441 N Gardner, Scottsburg, Indiana |
| Authorized Official Name and Position | Larry R Hunefeld (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 8127524055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Medical Ministry Po Box 677 Scottsburg IN 47170-0677 Ph: (812) 752-4055 | St. Luke's Medical Ministry 1441 N Gardner Scottsburg IN 47170-0677 Ph: (812) 752-4055 |
| NPI Number | 1912923285 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 04/04/2019 |
| Medicare PECOS PAC ID | 5890608475 |
|---|---|
| Medicare Enrollment ID | O20031110000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912923285 | NPI | - | NPPES |
| 200841280A | Medicaid | IN | |
| 200841280A | Other | IN | MEDICAID RHC |
| CI5526 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Erica J Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477557312 PECOS PAC ID: 6800709262 Enrollment ID: I20031111000440 |
| Provider Name | Larry R Hunefeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902800824 PECOS PAC ID: 1557274149 Enrollment ID: I20050727000803 |
| Provider Name | Andrea Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326652751 PECOS PAC ID: 4789003260 Enrollment ID: I20201014000706 |
Scottsburg Family Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 N. Gardner St., Scottsburg, IN 47170 Phone: 812-752-1151 Fax: 812-752-1152 | |
Nandalal Yepuri Scottsburg Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1185 N Gardner St, Scottsburg, IN 47170 Phone: 812-284-4437 Fax: 812-285-0256 | |
County Health Clinic For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1642c W Mcclain Ave, Scottsburg, IN 47170 Phone: 812-752-4185 Fax: 812-752-6425 | |
Scottsburg Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 Fairground Rd, Scottsburg, IN 47170 Phone: 812-752-0165 Fax: 812-752-0163 | |
Family Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1428 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-4001 Fax: 812-752-4654 | |
Schneck Family Care Of Scott County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1366 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-7444 Fax: 812-752-6855 | |
Norton Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1465 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-0001 Fax: 812-752-0010 |