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ST. LUKE'S MEDICAL MINISTRY

Rural Health

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Contact Information

ST. LUKE'S MEDICAL MINISTRY
1441 N GARDNER ST
SCOTTSBURG, IN  47170-7751
 Phone: 812-752-4055
 Fax: 812-752-4188
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rural Health

 261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI Number 1912923285
LBN Legal business name ST. LUKE'S MEDICAL MINISTRY
Authorized official ANDREA GIBSON - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 03/05/2026 - About 3 months ago
Identifiers
IN Medicaid 200841280A
IN Other 200841280A MEDICAID RHC
IN Other CI5526 RAILROAD MEDICARE
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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