# MEDELLA HOUSE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952050197
- **Authorized official:** COURTNEY TUTT NURSE PRACTITIONER (PRESIDENT)
- **Authorized official phone:** (502) 235-5437

## Contact information

- **Practice address:** 321 RIDGE RD, CHARLESTOWN, IN 47111-2033
- **Practice address phone:** (502) 235-5437
- **Mailing address:** 321 RIDGE RD, CHARLESTOWN, IN 47111-2033
- **Mailing address phone:** (502) 235-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 10/23/2023