# INDIAN CREEK FAMILY HEALTH BROOKVILLE LLC

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

## Provider details

- **NPI number:** 1427495878
- **Authorized official:** DR. MICHAEL FAIN D.O. (MEDICAL DIRECTOR/PHYSICIAN)
- **Authorized official phone:** (765) 647-4231

## Contact information

- **Practice address:** 617 MAIN ST, BROOKVILLE, IN 47012-1280
- **Practice address phone:** (765) 647-4231
- **Practice address fax:** (765) 547-1414
- **Mailing address:** 617 MAIN ST, BROOKVILLE, IN 47012-1280
- **Mailing address phone:** (765) 647-4231
- **Mailing address fax:** (765) 547-1414

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 10/30/2013