Greene County Health, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bloomfield, IN
NPI 1992094833 · NPPES record last updated Feb 2, 2018
Key facts
- NPI
- 1992094833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GREENE COUNTY HEALTH, INC
- Practice address
- 55 N Judge St
Bloomfield, IN 47424-1231 - Phone
- (812) 384-3508
- Fax
- (812) 384-3083
- NPI assigned
- Mar 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Crystal Plano
- Title
- Cfo
- Phone
- (812) 699-4153
Other NPIs on the same Medicare enrollment 5
Member organizations 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160520000216 | IN | Part B Supplier - Clinic/Group Practice | 7214226844 |
Receives reassigned benefits from 9 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jasonville, IN; Linton, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 01030118A | IN | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
55 N Judge St
Bloomfield, IN 47424-1231
Mailing address
1210 N 1000 W
Linton, IN 47441-5013
Phone (812) 384-3508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063744456 | Other | IN | NPI |
| 1326142696 | Other | IN | NPI |
| 151006 | Other | IN | MEDICARE FQHC |
| IN2985 | Other | IN | MEDICARE PART B (GROUP) |
| 201359410D | Medicaid | IN | |
| 1659352995 | Other | IN | NPI |
| 1194191536 | Other | IN | NPI |
Other names
- GREENE COUNTY HEALTH BLOOMFIELD
Other providers in Bloomfield, IN
- Tyralee Frye
- Megan Gainey
- Greene County Auditor
- Greene County General Hospital
- Greene County Health Clinic, LLC
- Jodi Lynn Hawkins
- Elizabeth Hilderbrand
- Hook-Superx LLC
- Insight Works LLC
- Shanna Kay Klun
All providers in Bloomfield, IN · Federally Qualified Health Center (FQHC) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2018. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.