# GREENE COUNTY HEALTH CLINIC, LLC

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

## Provider details

- **NPI number:** 1699753285
- **Authorized official:** KELLY HARDING (OWNER)
- **Authorized official phone:** (812) 384-0044

## Contact information

- **Practice address:** 12 W MAIN ST, BLOOMFIELD, IN 47424-1424
- **Practice address phone:** (812) 384-0044
- **Practice address fax:** (812) 384-0040
- **Mailing address:** 12 W MAIN ST, BLOOMFIELD, IN 47424-1424
- **Mailing address phone:** (812) 384-0044
- **Mailing address fax:** (812) 384-0040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 08/22/2020