| Sullivan Family Practice, Llc | |
|
2229 Mary Sherman Dr Sullivan IN 47882-7633 | |
| (812) 268-3318 | |
| (812) 268-4017 |
| Full Name | Sullivan Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2229 Mary Sherman Dr, Sullivan, Indiana |
| Authorized Official Name and Position | Susan Lynn Helman (ADMINISTRATOR) |
| Authorized Official Contact | 8122683318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Family Practice, Llc 2229 Mary Sherman Dr Po Box 230 Sullivan IN 47882-7633 Ph: (812) 268-3318 | Sullivan Family Practice, Llc 2229 Mary Sherman Dr Sullivan IN 47882-7633 Ph: (812) 268-3318 |
| NPI Number | 1770502981 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770502981 | NPI | - | NPPES |
| 153868 | Other | IN | RURAL HEALTH CLINIC |
| 200015680A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036108 (Indiana) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 01036108 (Indiana) | Secondary |
Mso Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-2650 | |
Fpa Quickcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-6292 | |
Sullivan County Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-3318 | |
Sullivan County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Sullivan, IN 47882 Phone: 812-268-0224 Fax: 812-268-0423 | |
Family Practice Associates Of Sullivan County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 | |
Sullivan County Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-3318 | |
Lakeside Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2186 N Hospital Blvd #2, Sullivan, IN 47882 Phone: 812-268-3318 Fax: 812-268-4017 |