Thompson Family Clinic LLC
Organization Active NPI Family Medicine Physician · Monroe City, IN
NPI 1710176235 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1710176235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02000689 (IN)
- Legal business name
- THOMPSON FAMILY CLINIC LLC
- Practice address
- 1201 Main St.
Monroe City, IN 47557-0006 - Phone
- (812) 743-5113
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
Authorized official
- Name
- William Cyrus Thompson II, D.O.
- Title
- Physician/Owner
- Phone
- (812) 743-5113
Practitioners 3
-
Kathy Sue Brinkman, NP-C
-
William Cyrus Thompson, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0719771 | Thompson Family Clinic LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051024000830 | IN | Part B Supplier - Clinic/Group Practice | 7214953702 |
Receives reassigned benefits from 3 practitioners Practice locations: Monroe City, IN |
National Provider Directory
Locations
1305 N Elm St
#13639
Henderson, KY 42420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 02000689 | IN | Yes |
Addresses
Primary practice location
1201 Main St.
Monroe City, IN 47557-0006
Mailing address
PO Box 6
Monroe City, IN 47557-0006
Phone (812) 743-5113
Other providers in Monroe City, IN
- Kathy Sue Brinkman
- Good Samaritan Hospital
- Natalie Page Graves
- Ivy Vadel Kerns
- Kaitlyn Marie Lunsford
- William Cyrus Thompson
- William Cyrus Thompson III
All providers in Monroe City, 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 Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.