Organization
SULLIVAN COUNTY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE FRANKLIN (CEO)
(812) 268-4311
Entity
Organization
Contact information
Practice address
2200 N SECTION ST, SULLIVAN, IN 47882-7523
(812) 268-4311
(812) 268-2650
Mailing address
PO BOX 10, 2200 N. SECTION STREET, SULLIVAN, IN 47882-0010
(812) 268-4311
(812) 268-2650
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
005013
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269970A
—
IN
01
—
941060
MEDICARE PART B
IN
Enumeration date
06/09/2005
Last updated
08/12/2020
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