MEDICARE: MARCRUM FAMILY HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01037688A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952429375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCRUM FAMILY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	8735 STATE ROAD 37 SUITE B
Second Line	:
City	:	TELL CITY
State	:	IN
Zip	:	47586-9304
Country	:	US
Telephone Number	:	812-547-9663
Fax Number	:	812-772-2871

Provider Business Practice Location Address
First Line	:	8735 STATE ROAD 37 SUITE B
Second Line	:
City	:	TELL CITY
State	:	IN
Zip	:	47586-9304
Country	:	US
Telephone Number	:	812-547-9663
Fax Number	:	812-772-2871

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM E MARCRUM
Credential	:	MD
Telephone Number	:	812-547-9663

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	10/21/2025

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