Organization
SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Active
Other names
Patoka Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RADCLIFF (CEO)
(812) 723-7118
Entity
Organization
Contact information
Practice address
307 S INDIANA AVE, ENGLISH, IN 47118
(812) 338-2924
(812) 338-3706
Mailing address
PO BOX 270, PAOLI, IN 47454-0270
(812) 723-3944
(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
—
200164670A
—
IN
Enumeration date
01/02/2018
Last updated
12/06/2022
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