Organization · Type 2 NPI

Indiana University Health Southern Indiana Physicians LLC

Rural Health Clinic/Center · Gosport, IN

NPI number 1003074972 Active

Practice location

7 E Main St
Gosport, IN 47433-7034

Call (812) 879-4222 Map

Fax (812) 879-4834

Mailing address

PO Box 1329
Bloomington, IN 47402-1329

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

NPI record

NPI: 1003074972
Entity type: Organization (Type 2)
Issued: May 28, 2008
Last updated: Jul 27, 2022
Status: Active
Subpart: Yes of Indiana University Health Bloomington Inc

Other names

<unavail>
Gosport Family Practice · other name
Gosport Family Practice · other name

Authorized official

Mr. Marlon B Fishel
Administration, Iu Health Sip
(812) 353-5866

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003074972

Indiana University Health Southern Indiana Physicians LLC's National Provider Identifier is 1003074972, issued on May 28, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Gosport, IN. The record was last updated on Jul 27, 2022.