Fmmg Harrison Family Medicine Llc

LBN: Fmmg Harrison Family Medicine Llc
Fmmg Harrison Family Medicine Llc is an health care organization with primary practice located at 313 Federal Dr Nw Suite 200, Corydon IN 47112-3070. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fmmg Harrison Family Medicine Llc can be contacted via phone (812) 738-4155, or through Eichenberger, Daniel via phone (812) 948-7632.

Contact Information

Primary practice address
313 Federal Dr Nw Suite 200 Corydon IN 47112-3070
Phone: (812) 738-4155
Fax: (812) 738-6104
Website:
Map and Directions
Authorized official contact:
Name: Eichenberger, Daniel
Phone: (812) 948-7632

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1275827784
LBN Legal business name Fmmg Harrison Family Medicine Llc
DBA Doing business as
Authorized official Eichenberger, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2011
Last updated May 26th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275827784 NPPES
Indiana MEDICAID 201040630

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