Bicknell Medical Center Professional Corporation
Organization Active NPI Family Medicine Physician · Bicknell, IN
NPI 1093700577 · NPPES record last updated Apr 30, 2014
Key facts
- NPI
- 1093700577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION
- Practice address
- 510 W 11TH St
Bicknell, IN 47512-9626 - Phone
- (812) 735-4040
- Fax
- (812) 735-3332
- NPI assigned
- Sep 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly R Kirkwood
- Title
- Business Manager
- Phone
- (812) 735-4040
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
510 W 11TH St
Bicknell, IN 47512-9626
Mailing address
510 W 11TH St
Bicknell, IN 47512-9626
Phone (812) 735-4040
Other providers in Bicknell, IN
- A-1 Medicaid Dental Group
- Dallas Cruz Anderson
- James Scott Breuker
- Joyce Ann Cornelison
- Karla Cox
- Joseph P Dale
- Stanley Deweese
All providers in Bicknell, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.