Organization
WELL CARE COMMUNITY HEALTH, INC.
Active
Organization
WELL CARE COMMUNITY HEALTH, INC.
Active
Other names
Foundations Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SUE JARVIS (REVENUE CYCLE MANAGER)
(765) 973-9294
Entity
Organization
Contact information
Practice address
314 S FERGUSON ST, HENRYVILLE, IN 47126-9734
(812) 794-8100
(812) 794-8200
Mailing address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(765) 973-9294
(765) 973-9233
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
05/04/2026
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