Organization
SULLIVAN COUNTY COMMUNITY HOSPITAL
Active
Other names
Family Practice Associates of Sullivan County
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL D WATSON (DIRECTOR OF REVENUE CYCLE)
(812) 268-4311
Entity
Organization
Contact information
Practice address
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(812) 268-3318
Mailing address
PO BOX 10, SULLIVAN, IN 47882-0010
(812) 268-4311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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