Greene County Health, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GREENE COUNTY HEALTH, INC

Practice address

1985 E Freedom Dr
Newberry, IN 47449-7125

Phone

(812) 863-4250

Fax

(812) 863-4252

NPI assigned

May 15, 2013

Last updated

Oct 26, 2017By 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

Crystal Plano

Title

Cfo

Phone

(812) 699-4153

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Greene County Health, Inc

  dba Greene County Health - Linton

  • Federally Qualified Health Center (FQHC)
  • Linton, IN
  • NPI 1194191536

  O20160520000216

  Same enrollment
• Greene County Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Jasonville, IN
  • NPI 1386042653

  O20160520000216

  Same enrollment
• Greene County Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Linton, IN
  • NPI 1457696189

  O20160520000216

  Same enrollment
• Greene County Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Worthington, IN
  • NPI 1629083019

  O20160520000216

  Same enrollment
• Greene County Health, Inc

  dba Greene County Health Bloomfield

  • Federally Qualified Health Center (FQHC)
  • Bloomfield, IN
  • NPI 1992094833

  O20160520000216

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Greene County Health, Inc

  dba Greene County Health Bloomfield

  • Federally Qualified Health Center (FQHC)
  • Bloomfield, IN
  • NPI 1992094833

  Member Of

  NPD member

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1407292501",
    "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": "1985 E FREEDOM DR",
            "city": "NEWBERRY",
            "state": "IN",
            "postal_code": "474497125",
            "telephone_number": "812-863-4250",
            "fax_number": "812-863-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "PLANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1194191536",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201359410E",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greene County General Hospital (My WestGate Clinic)
• Brent Jackson McDaniel, D.O.
• Bryan F Porter, MD

• Federally Qualified Health Center (FQHC) in Newberry, IN
• Providers in Newberry, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.