# FC INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Care Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225579063
- **Authorized official:** ANDREW MICHAEL DEANE (VP FINANCE)
- **Authorized official phone:** (615) 600-3478

## Contact information

- **Practice address:** 2418 16TH ST, BEDFORD, IN 47421-3049
- **Practice address phone:** (812) 508-8683
- **Practice address fax:** (812) 508-8684
- **Mailing address:** PO BOX 40166, NASHVILLE, TN 37204-0166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2017
- **Last updated:** 03/11/2024