Organization
GREENE COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA REETZ RN, MSN (CHIEF EXECUTIVE OFFICER)
(812) 847-5212
Entity
Organization
Contact information
Practice address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-2281
(812) 847-6166
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-2281
(812) 847-6166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
180050611
IN
207L00000X
Anesthesiology Physician
180050611
IN
207P00000X
Emergency Medicine Physician
060050611
IN
207Q00000X
Family Medicine Physician
180050611
IN
207R00000X
Internal Medicine Physician
180050611
IN
208M00000X
Hospitalist Physician
180050611
IN
282NC0060X
Critical Access Hospital
Primary
060050611
IN
363LF0000X
Family Nurse Practitioner
180050611
IN
367500000X
Certified Registered Nurse Anesthetist
060050611
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098253
BLUE CROSS BLUE SHIELD
IN
01
—
000000105523
BLUE CROSS BLUE SHIELD
IN
05
—
100269150A
—
IN
05
—
200027990A
—
IN
Enumeration date
01/27/2006
Last updated
04/17/2019
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