Organization Name: | SOUTHERN INDIANA FAMILY PRACTICE & OBSTETRICS P.C. |
NPI Number: | 1710968367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTA L SEXTON-COX (PRESIDENT) |
Mailing Address: | Rr 1 Box 995 Linton |
State: | IN US |
Postal Code: | 474419496 |
Phone Number: | 8128477005 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |