INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC (NPI# 1366600231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366600231 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
| Other Organization Name | HOMETOWN HEALTHCARE |
| Practice Address |
9 N Crane Ave Spencer IN 47460-1507 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8128292237 |
| Practice Fax Number | 8128296342 |
| Mailing Telephone | 8128292237 |
| Mailing Fax Number | 8128296342 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | MARLON B FISHEL (ADMINISTRATION, IU HEALTH SIP) |
| Authorized Official Telephone | 8123535866 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
| 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 | RAILROAD MEDICARE | CI4187 | 01 |
| IN | 200133950A | 05 |
| Other Name | Type Code |
|---|---|
| Hometown Healthcare | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082350 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-09-13 |
| 1033537030 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 9 N Crane Ave, Spencer, IN 47460-1507 | 2014-04-07 |
| 1740608926 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-04-03 |
| 1295153468 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2014-04-03 |
| 1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
| 1225456668 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2900 16th St, Bedford, IN 47421-3510 | 2014-04-02 |
| 1003074972 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 7 E Main St, Gosport, IN 47433-7034 | 2008-05-28 |
| 1619199155 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2007-05-03 |
| 1013953983 | Indiana University Health Southern Indiana Physicians, Inc | Emergency Medicine | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2006-06-21 |
| Street Address |
9 N CRANE AVE |
| City | SPENCER |
| State | IN |
| Zip Code | 47460-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174580427 | Joseph Car | Internal Medicine | 9 N Crane Ave, Spencer, IN 47460-1507 | 2006-04-28 |
| 1417495672 | Lyndsey Wilson | Nurse Practitioner | 9 N Crane Ave, Spencer, IN 47460-1507 | 2017-02-08 |
| 1033537030 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 9 N Crane Ave, Spencer, IN 47460-1507 | 2014-04-07 |
| 1689952772 | Kenneth E Marshall | Family Medicine | 9 N Crane Ave, Spencer, IN 47460 | 2011-07-25 |
| 1508816182 | Carol Petry | Nurse Practitioner | 9 N Crane Ave, Spencer, IN 47460-1507 | 2006-05-12 |
| 1073571600 | B. Diane Wells | Internal Medicine | 9 N Crane Ave, Spencer, IN 47460-1507 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173280 | Rebecca Roell | Specialist/Technologist | 622 W State Highway 46, Spencer, IN 47460 | 2017-09-25 |
| 1740739275 | Owen County Family Young Men's Christian Association | Health Educator | 1111 W. State Hwy 46, Spencer, IN 47460 | 2016-09-26 |
| 1164515748 | Corinne R Riebow | Counselor | 272 North Us Highway 231, Spencer, IN 47460 | 2006-10-02 |
| 1649348459 | Owen County Emergency Medical Services | Ambulance | 333 West State Highway 46, Spencer, IN 47460-0372 | 2006-12-01 |
| 1043242951 | Christi Ryan | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-0595 | 2006-07-07 |
| 1417089434 | Stephanie Beth Sare | Day Training/Habilitation Specialist | 650 N East St, Spencer, IN 47460-1007 | 2007-03-12 |
| 1174645915 | Julia M. Fine | Nurse Practitioner | 911 W Hillside Ave, Spencer, IN 47460-1119 | 2007-04-04 |
| 1881644672 | Betty Jean Lawrance | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2006-05-11 |
| 1427418284 | Cindy Rhodenbaugh | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2016-03-07 |
| 1780058347 | Megan Telgemeyer | Counselor | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2015-11-19 |
| Find all providers in zip 47460 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1790745172 | Hospital Development Co | Clinic/Center | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-28 |
| 1922068469 | Hospital Development Co | Clinic/Center | 200 Hospital Dr, Spencer, WV 25276-1050 | 2006-03-27 |
| 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 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 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 |
| 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.