| NPI | 1902602501 |
|---|---|
| Doing Business As | PCMH OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE HINTON Credentialing Specialist 812-772-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-09-20 |