National Provider Identifier Database

SULLIVAN COUNTY COMMUNITY HOSPITAL
Rural Health


Contact Information

SULLIVAN COUNTY COMMUNITY HOSPITAL
2229 MARY SHERMAN DR
SULLIVAN, IN47882-7633
Phone: 812-268-3318
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for SULLIVAN COUNTY COMMUNITY HOSPITAL

NPI Number 1447805965
Legal business name
LBN
SULLIVAN COUNTY COMMUNITY HOSPITAL
Authorized official DARRELL WATSON - (DIRECTOR OF REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 08/02/2019
Last updated 08/02/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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