# FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmyra Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356389498
- **Authorized official:** MR. EDWARD W. MILLER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (812) 949-5500

## Contact information

- **Practice address:** 691 MAIN STREET NE, PALMYRA FAMILY MEDICINE, PALMYRA, IN 47164-8894
- **Practice address phone:** (812) 364-4669
- **Practice address fax:** (812) 364-4783
- **Mailing address:** 3852 RELIABLE PARKWAY, PALMYRA FAMILY MEDICINE, CHICAGO, IL 60686-0038
- **Mailing address phone:** (812) 949-5482
- **Mailing address fax:** (812) 949-5966

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 06/26/2012
