Greene County Health, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GREENE COUNTY HEALTH, INC

Doing business as

Greene County Health Bloomfield

Practice address

55 N Judge St
Bloomfield, IN 47424-1231

Phone

(812) 384-3508

Fax

(812) 384-3083

NPI assigned

Mar 31, 2011

Last updated

Feb 2, 2018By 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 names 1

• GREENE COUNTY HEALTH BLOOMFIELD Doing business as

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)
  • Newberry, IN
  • NPI 1407292501

  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

Member of 1

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

• Greene County Health, Inc

  dba Greene County Health - Linton

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

  Member Of

  NPD member

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1992094833",
    "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": "812-384-3508",
            "fax_number": "812-384-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N JUDGE ST",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474241231",
            "telephone_number": "812-384-3508",
            "fax_number": "812-384-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2018-02-02",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030118A",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENE COUNTY HEALTH BLOOMFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Gainey
• Kathy Lynn Giebler, LMFT
• Greene County Auditor (Greene County Ambulance Service)
• Greene County General Hospital (My Bloomfield Clinic)
• Greene County Health Clinic, LLC
• Jodi Lynn Hawkins, OMT
• Elizabeth Hilderbrand, LCSW
• Hook-Superx LLC (CVS Pharmacy #06735)
• Insight Works LLC
• Shanna Kay Klun, RN, BSN, NP-C

• Federally Qualified Health Center (FQHC) in Bloomfield, IN
• Providers in Bloomfield, 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 Feb 2, 2018; 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.