| NPI | 1295040160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEE STRADER-MCMILLEN CEO 812-421-7489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2014-03-18 |