FC INDIANA, LLC; NPI #1841911591

Contact Information

FC INDIANA, LLC

2418 16TH ST
BEDFORD, IN 47421-3049

Phone: 931-253-1110
Fax: 931-722-9919
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for FC INDIANA, LLC

NPI #	`1841911591`
LBN Legal business name	FC INDIANA, LLC
Authorized official	SYDNI CLEMMONS - (CREDENTIALING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/09/2022
Last updated	09/09/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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