Organization
SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Active
Other names
Comprehensive Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RADCLIFF (CEO)
(812) 723-7118
Entity
Organization
Contact information
Practice address
420 W LONGEST ST, PAOLI, IN 47454-8821
(812) 723-3944
(812) 723-5292
Mailing address
PO BOX 270, PAOLI, IN 47454-0270
(812) 723-7118
(812) 723-5292
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937580A
—
IN
Enumeration date
12/29/2017
Last updated
02/03/2023
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