# RISING SUN MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124072137
- **Authorized official:** TOM FULLER (PRESIDENT)
- **Authorized official phone:** (812) 537-8200

## Contact information

- **Practice address:** 230 6TH ST, RISING SUN, IN 47040-1114
- **Practice address phone:** (812) 438-2555
- **Practice address fax:** (812) 438-1236
- **Mailing address:** PO BOX 639352, CINCINNATI, OH 45263-9352
- **Mailing address phone:** (812) 537-8241
- **Mailing address fax:** (812) 537-1041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/28/2017