Organization · Type 2 NPI

Southern Indiana Family Practice Center PC

Preferred Provider Organization · Bloomington, IN

NPI number 1770626152 Active

Practice location

3209 W Fullerton Pike, Ste A
Bloomington, IN 47403-4060

Fax (812) 671-9113

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X01055670A (IN)
Nurse Practitioner 363L00000X71002130A (IN)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

5 other providers at this address

About NPI 1770626152

Southern Indiana Family Practice Center PC's National Provider Identifier is 1770626152, issued on Feb 15, 2007. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Bloomington, IN. The record was last updated on Nov 20, 2015.