# GREENE COUNTY GENERAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greene County Health-Linton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720360019
- **Authorized official:** LAURIE FENSTERMACHER (CREDENTIALING MGR)
- **Authorized official phone:** (570) 366-4606

## Contact information

- **Practice address:** 1210 N 1000 W, LINTON, IN 47441-5013
- **Practice address phone:** (812) 847-7005
- **Practice address fax:** (812) 847-5305
- **Mailing address:** PO BOX 23, GREENSBURG, IN 47240-0023
- **Mailing address phone:** (812) 699-4153
- **Mailing address fax:** (570) 366-5032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02001987A | IN | Yes |
| 207Q00000X | Family Medicine Physician | 02001988A | IN | — |
| 207VX0000X | Obstetrics Physician | 02001987A | IN | — |
| 207VX0000X | Obstetrics Physician | 02001988A | IN | — |
| 261QR1300X | Rural Health Clinic/Center | 02001987A | IN | — |
| 261QR1300X | Rural Health Clinic/Center | 02001988A | IN | — |
| 261QR1300X | Rural Health Clinic/Center | 10001157B | IN | — |
| 363A00000X | Physician Assistant | 10001157B | IN | — |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 12/11/2014