# JASPER HEALTH WORX LLC

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

## Provider details

- **NPI number:** 1710403795
- **Authorized official:** MRS. LINDA LOU GOEPPNER PHR (MANAGER)
- **Authorized official phone:** (812) 482-1041

## Contact information

- **Practice address:** 819 WERNSING RD, JASPER, IN 47546-8141
- **Practice address phone:** (877) 291-6488
- **Mailing address:** PO BOX 390, JASPER, IN 47547-0390
- **Mailing address phone:** (877) 291-6488
- **Mailing address fax:** (812) 481-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 71003375A | IN | Yes |

## Other

- **Enumeration date:** 08/21/2017
- **Last updated:** 09/08/2022