Sullivan County Community Hospital
Organization Active NPI Clinic/Center · Sullivan, IN
NPI 1154939320 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1154939320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- SULLIVAN COUNTY COMMUNITY HOSPITAL
- Practice address
- 2200 N Section St
Sullivan, IN 47882-7523 - Phone
- (812) 268-3318
- NPI assigned
- Jul 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Darrell D Watson
- Title
- Director of Revenue Cycle
- Phone
- (812) 268-4311
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Sullivan County Community Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
2200 N Section St
Sullivan, IN 47882-7523
Mailing address
PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-4311
Other names
- FPA Quickcare
Other providers in Sullivan, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. 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.