| NPI | 1629621396 |
|---|---|
| Doing Business As | PCMH PROVIDER CLINICS |
| Entity Type | Organization |
| Authorized Contact | JARED STIMPSON CEO 812-547-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR1300X Clinic/Center, Rural Health | |
| 207R00000X Internal Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-01-23 |