FC INDIANA, LLC

BEDFORD, IN
NPI1841911591
Entity TypeOrganization
Authorized ContactSYDNI CLEMMONS
Credentialing Manager
901-351-1791
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2022-09-09
Last Update Date2022-09-09
Business Address
FC INDIANA, LLC
2418 16TH ST
BEDFORD, IN 47421-3049
Phone number: 931-253-1110
Mailing Address
FC INDIANA, LLC
PO BOX 306414
NASHVILLE, TN 37230-6414
Phone number: 931-253-1110