National Provider Identifier Database

ST LUKES MEDICAL MINISTRY
Rural Health


Contact Information

ST. LUKE'S MEDICAL MINISTRY
1441 N GARDNER ST
SCOTTSBURG, IN47170-7751
Phone: 812-752-4055
Fax: 812-752-4188
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ST. LUKE'S MEDICAL MINISTRY

NPI Number 1912923285
Legal business name
LBN
ST. LUKE'S MEDICAL MINISTRY
Authorized official ANDREA GIBSON - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2006
Last updated 03/05/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200841280A
  • IN Other: 200841280A MEDICAID RHC
  • IN Other: CI5526 RAILROAD MEDICARE

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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