Organization
GREENE COUNTY GENERAL HOSPITAL
Active
Parent organization
GREENE COUNTY GENERAL HOSPITAL
Other names
My Worthington Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE COUNTY GENERAL HOSPITAL
Authorized official
WENDY SPURLIN (EXECUTIVE ASSISTANT)
(812) 847-5212
Entity
Organization
Contact information
Practice address
102 E MAIN ST, WORTHINGTON, IN 47471
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-5212
(812) 847-6166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
180050611
IN
174400000X
Specialist
180050611
IN
207Q00000X
Family Medicine Physician
180050611
IN
207V00000X
Obstetrics & Gynecology Physician
180050611
IN
208000000X
Pediatrics Physician
180050611
IN
261QR1300X
Rural Health Clinic/Center
Primary
180050611
IN
363A00000X
Physician Assistant
180050611
IN
363LF0000X
Family Nurse Practitioner
180050611
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027043
—
IN
Enumeration date
04/19/2018
Last updated
07/10/2019
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