# SCOTTSBURG FAMILY HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SCOTTSBURG FAMILY HEALTHCARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124372131
- **Legal business name:** SCOTTSBURG FAMILY HEALTHCARE INC
- **Authorized official:** SHANE ALLEN AVERY MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (812) 752-1151

## Contact information

- **Practice address:** 1465 N. GARDNER ST., SCOTTSBURG, IN 47170-7751
- **Practice address phone:** (812) 752-1151
- **Practice address fax:** (812) 752-1152
- **Mailing address:** PO BOX 290, SCOTTSBURG, IN 47170-0290
- **Mailing address phone:** (812) 752-1151
- **Mailing address fax:** (812) 752-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01045558A | IN | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 04/05/2013