Southern Indiana Family Practice Center Pc in Bloomington - Preferred Provider Organization
Southern Indiana Family Practice Center Pc - NPI 1770626152
Southern Indiana Family Practice Center Pc is a Preferred Provider Organization in Bloomington, Indiana. Southern Indiana Family Practice Center Pc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Southern Indiana Family Practice Center Pc is 1770626152. The last update date is 2015-11-20.
Southern Indiana Family Practice Center Pc's current location address is 3209 W Fullerton Pike, Bloomington, Indiana. You can contact this provider via phone number 8123396744 and fax number 8126719113. The mailing address for Southern Indiana Family Practice Center Pc is 3209 W Fullerton Pike, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Indiana Family Practice Center Pc |
|---|---|
| Address | 3209 W Fullerton Pike, Bloomington, Indiana |
| Phone Number | 8123396744 |
| Fax Number | 8126719113 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Reid-Renner L. Karen |
| Credentials | MD |
| Telephone Number | 8123396744 |
NPI Number Detail
| NPI Number | 1770626152 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2015-11-20 |
Provider Mailing Address Detail
| Address | 3209 W Fullerton Pike |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034060 |
| Phone Number | 8123396744 |
| Fax Number | 8126719113 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 01055670A |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200367600A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southern Indiana Family Practice Center Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Indiana Family Practice Center Pc has been assigned the NPI (National Provider Identifier) 1770626152. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Southern Indiana Family Practice Center Pc located?
The Southern Indiana Family Practice Center Pc is located at 3209 W Fullerton Pike, Bloomington, IN 474034060.
What is Southern Indiana Family Practice Center Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southern Indiana Family Practice Center Pc is Preferred Provider Organization, and the corresponding taxonomy classification code for this specialized field is 305R00000X.
When did Southern Indiana Family Practice Center Pc receive its 1770626152 assignment?
The Southern Indiana Family Practice Center Pc was assigned its 1770626152 on 2007-02-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Southern Indiana Family Practice Center Pc most recently updated or refreshed?
The details pertaining to the Southern Indiana Family Practice Center Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-20.