NPIMap

Organization Active NPI

Greene County Health, Inc

Doing business as Greene County Health - Linton

  • Federally Qualified Health Center (FQHC)
  • Linton, IN
National Provider Identifier
1194191536
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREENE COUNTY HEALTH, INC
Doing business as
Greene County Health - Linton
Practice address
Greene County Health Linton
1600 A St. NE Ste 9
Linton, IN 47441-1614
Phone
(812) 847-7005
NPI assigned
Aug 20, 2015
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Crystal Plano
Title
Official
Phone
(812) 699-4153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

Greene County Health Linton
1600 A St. NE Ste 9
Linton, IN 47441-1614

Mailing address

1210 N 1000 W
Linton, IN 47441-5013
Phone (812) 699-4153

Other practice location 1

1985 E Freedom Dr
Newberry, IN 47449-7125
Phone (812) 863-4250

Other practice location 2

1985 E Freedom Dr
Newberry, IN 47449-7125
Phone (812) 863-4250

Other practice location 3

708 W Main St
Bloomfield, IN 47424-1179
Phone (812) 277-8098

Other practice location 4

102 E Main St
Worthington, IN 47471-1603
Phone (812) 875-2000

Other practice location 5

1216 N 1000 W
Linton, IN 47441-5013
Phone (812) 699-4111

Other practice location 6

714 W Main St
Jasonville, IN 47438-1323
Phone (812) 665-9000

Other practice location 7

1210 N 1000 W
Linton, IN 47441-5013
Phone (812) 699-4153 ext. 2

Other practice location 8

390 A St NE
Linton, IN 47441
Phone (812) 699-4153

Other identifiers 2

IdentifierTypeStateIssuer
151987OtherINMEDICARE
201359410MedicaidIN

Other names 1

  • Greene County Health - Linton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160520000216 IN Part B Supplier - Clinic/Group Practice 7214226844 Receives reassigned benefits from 9 practitioners
5 other NPIs on this enrollment
Practice locations: Jasonville, IN; Linton, IN
O20170712001899 IN Part A Provider - Federally Qualified Health Center (FQHC) 7214226844 Practice locations: Linton, IN
O20170712003419 IN Part A Provider - Federally Qualified Health Center (FQHC) 7214226844 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jasonville, IN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194191536. Details of each certification follow.

Federally qualified health center certification: CCN 151987

Legal name
GREENE COUNTY HEALTH INC
Doing business as
GREENE COUNTY HEALTH LINTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 12, 2017
Last certification
Jul 12, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 2015 in IN
Enrollment address
1600 A St NE
Ste 9
Linton, IN 47441-1612

Federally qualified health center certification: CCN 151986

Legal name
GREENE COUNTY HEALTH INC
Doing business as
GREENE COUNTY HEALTH SHAKAMAK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 12, 2017
Last certification
Jul 12, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 2015 in IN
Enrollment address
326 E Main St
Jasonville, IN 47438-1510

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0982482Greene County Health Linton1600 A St NE, Suite 9, Linton, IN 47441Provider-performed microscopyJan 25, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

708 W Main St
Bloomfield, IN 47424
Phone (812) 227-7432

708 W Main St
Ste A
Bloomfield, IN 47424
Phone (812) 277-8098

326 E Main St
Jasonville, IN 47438
Phone (812) 665-9000

390 A St NE
Linton, IN 47441
Phone (812) 699-4023

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dennis Green Individual Corporate OfficerBoard Member Feb 1, 2017
Lianne E Wilson Individual Corporate OfficerBoard Member Feb 1, 2015
Elizabeth M Burrows Individual Corporate OfficerInterim Ceo Feb 1, 2015
Corporate DirectorInterim Ceo Feb 1, 2015
W-2 Managing EmployeeInterim Ceo Feb 1, 2015
Operational/Managerial ControlInterim Ceo Feb 1, 2015
Sue Ann Johnson Individual Corporate OfficerBoard Member Feb 1, 2017
Linda D Bedwell Individual Corporate OfficerSecretary Feb 1, 2015
Corporate DirectorSecretary Feb 1, 2015
W-2 Managing EmployeeSecretary Feb 1, 2015
Operational/Managerial ControlSecretary Feb 1, 2015
Mary L Quiel Individual Corporate OfficerChairman Feb 1, 2015
Susie D Slinkard Individual Corporate OfficerBoard Member Feb 1, 2015
Rick a Graves Individual Corporate OfficerBoard Member Feb 1, 2015
Dianne C Langer Individual Corporate OfficerVice Chairman Feb 1, 2015
Douglas C Dayhoff Individual Corporate OfficerBoard Member Feb 1, 2015
Greene County Health Inc Organization, Linton, IN Corporation 5% Or Greater Direct Ownership Interest Feb 27, 2017 100%
5% Or Greater Direct Ownership Interest Feb 27, 2015 100%
Crystal Plano Individual Corporate OfficerCeo Feb 1, 2015
Corporate DirectorCeo Feb 1, 2015
W-2 Managing EmployeeCeo Feb 1, 2015
Operational/Managerial ControlCeo Feb 1, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greene County Health ShakamakJasonville, IN, CCN 151986 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1194191536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-699-4153",
            "fax_number": "812-699-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREENE COUNTY HEALTH LINTON",
            "address_2": "1600 A ST. NE STE 9",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411614",
            "telephone_number": "812-847-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 E Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "IN",
            "postal_code": "474497125",
            "country_code": "US",
            "telephone_number": "812-863-4250",
            "fax_number": "812-863-5242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1985 E Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "IN",
            "postal_code": "474497125",
            "country_code": "US",
            "telephone_number": "812-863-4250",
            "fax_number": "812-863-4252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474241179",
            "country_code": "US",
            "telephone_number": "812-277-8098",
            "fax_number": "812-384-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Main St",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "IN",
            "postal_code": "474711603",
            "country_code": "US",
            "telephone_number": "812-875-2000",
            "fax_number": "812-875-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474415013",
            "country_code": "US",
            "telephone_number": "812-699-4111",
            "fax_number": "812-699-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jasonville",
            "state": "IN",
            "postal_code": "474381323",
            "country_code": "US",
            "telephone_number": "812-665-9000",
            "fax_number": "812-665-9009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474415013",
            "country_code": "US",
            "telephone_number": "812-699-4153 x2",
            "fax_number": "812-699-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 A St NE",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "47441",
            "country_code": "US",
            "telephone_number": "812-699-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENE COUNTY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "PLANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "812-699-4153"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "151987",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201359410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County Health - Linton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greene County Health - Linton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.