Sandcrest Family Medicine

LBN: Physician Practice Organization
Sandcrest Family Medicine is an health care organization with primary practice located at 3203 Middle Dr , Columbus IN 47203-4427. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Physician Practice Organization can be contacted via phone (812) 373-2701, or through Porter, David J via phone (812) 373-2701.

Contact Information

Primary practice address
3203 Middle Dr Columbus IN 47203-4427
Fax: (812) 373-2710
Website:
Authorized official contact:
Name: Porter, David J Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1407861164
LBN Legal business name Physician Practice Organization
DBA Doing business as Sandcrest Family Medicine
Authorized official Porter, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jan 27th, 2014 - about 11 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 1407861164 NPPES
Indiana MEDICAID 100051320A

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