Southern Indiana Family Practice Center PC
Southern Indiana Family Practice Center PC is a Preferred Provider Organization in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3209 W Fullerton Pike Ste ABloomington, IN 47403-4060
Phone: (812) 339-6744
Fax: (812) 671-9113
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 01055670A (IN) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 71002130A (IN) |
Record details
| NPI number | 1770626152 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Reid-Renner — Owner · (812) 339-6744 |
| Other names | Southern Indiana Family Practice Center |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | November 20, 2015 |
| Mailing address | 3209 W Fullerton Pike, Ste A, Bloomington, IN 47403-4060 |