Organization
SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Active
Other names
SICHC Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RADCLIFF (CEO)
(812) 723-3944
Entity
Organization
Contact information
Practice address
1201 N JIM DAY RD, SALEM, IN 47167-7219
(812) 723-3944
(812) 723-7989
Mailing address
PO BOX 270, PAOLI, IN 47454-0270
(812) 723-3944
(812) 723-7989
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017230A
—
IN
Enumeration date
11/17/2020
Last updated
11/17/2020
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