Organization
GREENE COUNTY GENERAL HOSPITAL LLC
Active
Other names
Greene County Health-Linton
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE FENSTERMACHER (CREDENTIALING MGR)
(570) 366-4606
Entity
Organization
Contact information
Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 847-7005
(812) 847-5305
Mailing address
PO BOX 23, GREENSBURG, IN 47240-0023
(812) 699-4153
(570) 366-5032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001987A
IN
207Q00000X
Family Medicine Physician
02001988A
IN
207VX0000X
Obstetrics Physician
02001987A
IN
207VX0000X
Obstetrics Physician
02001988A
IN
261QR1300X
Rural Health Clinic/Center
02001987A
IN
261QR1300X
Rural Health Clinic/Center
02001988A
IN
261QR1300X
Rural Health Clinic/Center
10001157B
IN
363A00000X
Physician Assistant
10001157B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200153250
—
IN
Enumeration date
09/13/2011
Last updated
12/11/2014
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