# SOUTHERN INDIANA WORK TEAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEDFORD REGIONAL MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063743540
- **Legal business name:** BEDFORD REGIONAL MEDICAL CENTER
- **Authorized official:** CHARLES L SHETLER CPA, FHFMA (CFO)
- **Authorized official phone:** (812) 275-1353

## Contact information

- **Practice address:** 2900 W. 16TH STREET, BEDFORD, IN 47421-3510
- **Practice address phone:** (812) 275-9675
- **Practice address fax:** (812) 275-1232
- **Mailing address:** 2900 W. 16TH STREET, BEDFORD, IN 47421-3510
- **Mailing address phone:** (812) 275-9675
- **Mailing address fax:** (812) 275-1232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 01/22/2010