# SOUTHERN INDIANA PRIMARY CARE, LLC

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

## Provider details

- **NPI number:** 1619224979
- **Authorized official:** MR. RICHARD KRAMER (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (812) 378-7000

## Contact information

- **Practice address:** 410 S CHESTNUT ST, SEYMOUR, IN 47274-2370
- **Practice address phone:** (812) 378-7000
- **Mailing address:** 410 S CHESTNUT ST, SEYMOUR, IN 47274-2370
- **Mailing address phone:** (812) 378-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01032854A | IN | Yes |
| 363A00000X | Physician Assistant | 1040351 | IN | — |

## Other

- **Enumeration date:** 08/06/2012
- **Last updated:** 08/06/2012