Organization
SHELBY COUNTY FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HORNER (CEO)
(317) 392-3211
Entity
Organization
Contact information
Practice address
30 W RAMPART ST, SUITE 210, SHELBYVILLE, IN 46176-8897
(317) 398-0121
(317) 421-2016
Mailing address
30 WEST RAMPART STREET, SUITE 210, SHELBYVILLE, IN 46176-8897
(317) 398-0121
(317) 421-2016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224650A
—
IN
01
—
741720
MEDICARE ID
IN
Enumeration date
09/21/2006
Last updated
07/21/2022
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