# FLOYD MEMORIAL MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLOYD MEMORIAL HOSPITAL & HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730482779
- **Legal business name:** FLOYD MEMORIAL HOSPITAL & HEALTH SERVICES
- **Authorized official:** KIM MARDIS (CREDENTIALING)
- **Authorized official phone:** (270) 765-3886

## Contact information

- **Practice address:** 1425 STATE ST STE 210, NEW ALBANY, IN 47150-4977
- **Practice address phone:** (812) 981-6511
- **Practice address fax:** (812) 981-6566
- **Mailing address:** 1425 STATE ST STE 210, NEW ALBANY, IN 47150-4977
- **Mailing address phone:** (812) 981-6511
- **Mailing address fax:** (812) 981-6566

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2010
- **Last updated:** 12/14/2010