Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHERN INDIANA FAMILY PRACTICE CENTER PC
Active OrganizationSOUTHERN INDIANA FAMILY PRACTICE CENTER PC is a Preferred Provider Organization organization located in BLOOMINGTON, Indiana. NPI 1770626152 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1770626152
- Provider Type
- Organization
- NPI Issued
- Feb 15, 2007 (19.492676971976 yrs)
- Last Updated
- Nov 20, 2015
- Licenses
-
71002130A (IN)01055670A (IN)
Practice Information
- Address
-
3209 W FULLERTON PIKESTE ABLOOMINGTON, IN, 474034060Browse IN providers · Browse ZIP 47403
- Phone
- 8123396744
- Fax
- 8126719113
- Primary Specialty
-
Preferred Provider Organization
305R00000X
- Additional Specialty
- Preferred Provider Organization
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.