NPIMap

Organization Active NPI

Sullivan County Community Hospital

Doing business as Dugger Medical Clinic

  • Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1366076564
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SULLIVAN COUNTY COMMUNITY HOSPITAL
Doing business as
Dugger Medical Clinic
Sullivan Pain Management Center
Practice address
4146 S 7TH St Ste B
Terre Haute, IN 47802-4123
Phone
(812) 281-2243
NPI assigned
Feb 26, 2020
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SULLIVAN COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Jennifer Ridgway
Title
Revenue Cycle Director
Phone
(812) 268-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4146 S 7TH St Ste B
Terre Haute, IN 47802-4123

Mailing address

PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-4311

Other practice location 1

1005 S 3rd St
Dugger, IN 47848-5011
Phone (812) 648-0228

Other names 2

  • Dugger Medical Clinic Doing business as
  • Sullivan Pain Management Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414001364 IN Part B Supplier - Clinic/Group Practice 2466497482 Receives reassigned benefits from 7 practitioners
Practice locations: Dugger, IN; Terre Haute, IN

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry7 organizations share this tax ID, including this one
Part of
Invalid Entry

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sullivan County Community HospitalSullivan, IN, CCN 15Z327 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Family Practice Associates of Sullivan CountySullivan, IN, CCN 158540 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1366076564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820010",
            "telephone_number": "812-268-4311",
            "fax_number": "812-268-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 S 7TH ST STE B",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024123",
            "telephone_number": "812-281-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dugger",
            "state": "IN",
            "postal_code": "478485011",
            "country_code": "US",
            "telephone_number": "812-648-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SULLIVAN COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SULLIVAN COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "RIDGWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "812-268-4311"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dugger Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sullivan Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.