Organization
TULIP TREE HEALTH SERVICES OF GIBSON COUNTY, INC.
Active
Organization
TULIP TREE HEALTH SERVICES OF GIBSON COUNTY, INC.
Active
Other names
Tulip Tree Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE M GEORGES (CHIEF EXECUTIVE OFFICER)
(812) 753-1039
Entity
Organization
Contact information
Practice address
123 N MCCREARY ST, FORT BRANCH, IN 47648
(812) 753-1039
(812) 753-1122
Mailing address
108 N MAIN ST, PRINCETON, IN 47670-1540
(812) 753-1039
(812) 753-1122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
02000610
IN
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200248220A
—
IN
05
—
300039487A
—
IN
Enumeration date
03/21/2007
Last updated
09/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up