Organization
GREENE COUNTY HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PLANO (CFO)
(812) 699-4153
Entity
Organization
Contact information
Practice address
1985 E FREEDOM DR, NEWBERRY, IN 47449-7125
(812) 863-4250
(812) 863-4252
Mailing address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 699-4153
(812) 699-4271
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194191536
GROUP NPI
IN
05
—
201359410E
—
IN
Enumeration date
05/15/2013
Last updated
10/26/2017
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