Southern Indiana Community Health Care

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SOUTHERN INDIANA COMMUNITY HEALTH CARE

Doing business as

Comprehensive Health Care

Practice address

420 W Longest St
Paoli, IN 47454-8821

Phone

(812) 723-3944

Fax

(812) 723-7991

NPI assigned

Sep 9, 2008

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tonya M Jones, CBP

Title

Billing Manager

Phone

(812) 723-7119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comprehensive Health Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1174772651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LONGEST ST",
            "address_2": "PO BOX 270",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548821",
            "telephone_number": "812-723-3944",
            "fax_number": "812-723-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LONGEST ST",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548821",
            "telephone_number": "812-723-3944",
            "fax_number": "812-723-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA COMMUNITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "812-723-7119",
        "authorized_official_credential": "CBP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Sands, PTA
• Christopher M Scipione
• Wallace Shellenberger, M.D.
• Danielle Smuck, PHARMD
• Southeast Township (Orange County) Volunteer Fire Company in (southeast vol. fire dept.)
• Southern Indiana Community Health Care (Comprehensive Health Care)
• Southern Indiana Community Health Care, Inc (Comprehensive Health Care)
• Southern Indiana Community Health Care, Inc (Comprehensive Health Care)
• Southern Indiana Eye Care, LLC
• Southern Indiana Myofascial Release, LLC

• Rural Health Clinic/Center in Paoli, IN
• Providers in Paoli, IN by specialty
• Rural Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.