| Southern Indiana Community Health Care, Inc | |
|
8163 W State Road 56 Ste A West Baden Springs IN 47469-7706 | |
| (812) 936-2425 | |
| (812) 936-2599 |
| Full Name | Southern Indiana Community Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8163 W State Road 56 Ste A, West Baden Springs, Indiana |
| Authorized Official Name and Position | Nancy Radcliff (CEO) |
| Authorized Official Contact | 8127237118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Community Health Care, Inc Po Box 270 Paoli IN 47454-0270 Ph: (812) 723-7118 | Southern Indiana Community Health Care, Inc 8163 W State Road 56 Ste A West Baden Springs IN 47469-7706 Ph: (812) 936-2425 |
| NPI Number | 1841706868 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 5799694360 |
|---|---|
| Medicare Enrollment ID | O20180216001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841706868 | NPI | - | NPPES |
| 201168330A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |