SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI# 1275827206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275827206 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Other Organization Name | CARLISLE MEDICAL CLINIC |
| Practice Address |
8685 Old Highway 41 South Carlisle IN 47838-8234 |
| Practice Telephone | 8123985200 |
| Practice Fax Number | 8123985202 |
| Mailing Telephone | 8123985200 |
| Mailing Fax Number | 8123985202 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-30 |
| Authorized Official Name | MRS. MICHELLE SLY SMITH (CEO) |
| Authorized Official Telephone | 8122684311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201013310A | 05 |
| Other Name | Type Code |
|---|---|
| Carlisle Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1497759260 | Sullivan County Community Hospital | General Acute Care Hospital | 2200 N Section St, Sullivan, IN 47882-7523 | 2005-06-09 |
| 1790788537 | Sullivan County Community Hospital | Home Health | 2110 N Hospital Blvd Ste 3, Sullivan, IN 47882-7656 | 2005-05-24 |
| 1093323701 | Sullivan County Community Hospital | Clinic/Center | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-20 |
| 1497363303 | Sullivan County Community Hospital | Family Medicine | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2020-07-16 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
| 1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | 2200 N Section St, Sullivan, IN 47882-7523 |
| Indiana Business Entities | SULLIVAN COUNTY COMMUNITY HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN |
| Street Address |
8685 OLD HIGHWAY 41 SOUTH |
| City | CARLISLE |
| State | IN |
| Zip Code | 47838-8234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1720524945 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838 | 2017-01-11 |
| 1376901058 | Deborah Bedwell | Nurse Practitioner | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538283395 | Kerri Frances Salamanca | Psychologist | 6908 S Old Us Hwy 41, Wabash Valley Correctional Facility, Carlisle, IN 47838 | 2007-03-19 |
| 1154450724 | Terre Haute Medical Corp PC | Family Medicine | 8685 S Old Us 41, Carlisle, IN 47838 | 2007-03-02 |
| 1184255440 | Latasha Nichole Jones | Nurse Practitioner | 8685 S Old 41, Carlisle, IN 47838-8234 | 2020-01-27 |
| 1356359145 | Carlisle Lions Community Ambulance Inc | Ambulance | 2549 E County Road 700 S, Carlisle, IN 47838-8245 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786872 | Holly Kay Conrady | Dietitian, Registered | 1022 Rockledge Dr, Carlisle, PA 17015-9127 | 2020-10-01 |
| 1114534005 | Alison Sturgis | Clinic/Center | 272 Cora Dr, Carlisle, OH 45005-3223 | 2020-09-25 |
| 1033724794 | Ana Garcia Velazco | Dental Hygienist | 450 Gibner Rd Ste 2, Carlisle, PA 17013-5095 | 2020-09-10 |
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1609494848 | Telehealth Counseling, LLC | Social Worker | 8651 Windsong Ct, Carlisle, OH 45005-7919 | 2020-07-13 |
| 1497371397 | Carlisle Family Dentistry Pllc | Clinic/Center | 2800 Norgard Cir Ste 200, Carlisle, IA 50047-8000 | 2020-06-17 |
| 1376168278 | Christopher Sims | Counselor | 529 N Pitt St Apt 2, Carlisle, PA 17013-1948 | 2020-06-16 |
| 1508481995 | Allyn G Perkins Dmd LLC | Clinic/Center | 1909 Ritner Hwy Ste 2, Carlisle, PA 17013-9310 | 2020-06-11 |
| 1912528027 | Macey A Riese | Physician Assistant | 376 Clear Springs Ct, Carlisle, OH 45005-7321 | 2020-04-29 |
| 1275152902 | Maureen W Myers | Technician | 252 Munroe Hill Rd, Carlisle, MA 01741-1320 | 2020-04-13 |
| Find all providers in CARLISLE | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1093042038 | Jmhc Inc | Clinic/Center | 2330 Concrete Rd, Carlisle, KY 40311-9700 | 2009-11-12 |
| 1588690259 | Carlisle Clinic, Psc | Clinic/Center | 107 S Broadway St, Carlisle, KY 40311-1150 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182190 | Indiana University Health Paoli Inc | Clinic/Center | 560 W. Longest Street, Paoli, IN 47454-9670 | 2020-07-30 |
| 1255965083 | True Healthcare Partner LLC | Clinic/Center | 104 North Webster Street, Saint Paul, IN 47272-9435 | 2020-03-02 |
| 1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| 1881843522 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 522 South Maple Street, French Lick, IN 47432 | 2008-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.