# MADISON COUNTY COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADISON COUNTY COMMUNITY HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013363308
- **Legal business name:** MADISON COUNTY COMMUNITY HEALTH CENTER
- **Authorized official:** ANTHONY MALONE (CEO)
- **Authorized official phone:** (765) 641-7499

## Contact information

- **Practice address:** 1547 OHIO AVE, ANDERSON, IN 46016-1917
- **Practice address phone:** (765) 641-7499
- **Practice address fax:** (765) 356-4647
- **Mailing address:** 1547 OHIO AVE, ANDERSON, IN 46016-1917
- **Mailing address phone:** (765) 641-7499
- **Mailing address fax:** (765) 356-4647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 05/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200271310A | — | IN |