Renaissance Family Medicine, Llc

LBN: Renaissance Family Medicine, Llc
Renaissance Family Medicine, Llc is an health care organization with primary practice located at 2580 Charlestown Rd Suite 2, New Albany IN 47150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Renaissance Family Medicine, Llc can be contacted via phone (812) 948-9500, or through Fisher, Anna M. via phone (812) 948-9500.

Contact Information

Primary practice address
2580 Charlestown Rd Suite 2 New Albany IN 47150
Phone: (812) 948-9500
Fax: (812) 948-9600
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Anna M. Doctor of Medicine (MD)
Phone: (812) 948-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036882A Indiana

Profile Details

NPI number 1720287071
LBN Legal business name Renaissance Family Medicine, Llc
DBA Doing business as
Authorized official Fisher, Anna M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Dec 28th, 2018 - about 6 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 1720287071 NPPES
Indiana MEDICAID 100116610A

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