Floyd Memorial Hospital and Health Services
Organization Active NPI Family Medicine Physician · Georgetown, IN
NPI 1396783239 · NPPES record last updated Jun 25, 2012
Key facts
- NPI
- 1396783239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
- Practice address
- 5300 State Road 64
Floyd Memorial Family Medicine
Georgetown, IN 47122-9178 - Phone
- (812) 923-4200
- Fax
- (812) 923-4203
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward W. Miller
- Title
- Chief Financial Officer
- Phone
- (812) 949-5500
Practitioners 2
-
Susan M. Beach, ARNP, NP-C
-
Kevin D Dew, M.D.
National Provider Directory
Locations
3844 Reliable Pkwy
Chicago, IL 60686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
5300 State Road 64
Floyd Memorial Family Medicine
Georgetown, IN 47122-9178
Mailing address
3844 Reliable Parkway
Floyd Memorial Family Medicine
Chicago, IL 60686-0038
Phone (812) 949-5482
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001Z8520A | Medicaid | IN |
Other names
- Floyd Memorial Family Medicine
Other providers in Georgetown, IN
- Carrie Emerson
- Ian Bradley Emerson
- Richard L Emerson
- Victoria S Evans
- Rachel Michelle Eve
- Tonja F Foster
- Haley Brooke Funkhouser
- Georgetown Dental
- Georgetown Township Fire Protection District
- Ashley Renee Giles
All providers in Georgetown, 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 Jun 25, 2012. 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.