Healthcare Provider Details
I. General information
NPI: 1427403732
Provider Name (Legal Business Name): RMC MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2016
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2072 N COUNTY ROAD 700 W
RICHLAND IN
47634-9480
US
IV. Provider business mailing address
2072 N COUNTY ROAD 700 W
RICHLAND IN
47634-9480
US
V. Phone/Fax
- Phone: 812-359-4012
- Fax: 812-359-4481
- Phone: 812-359-4012
- Fax: 812-359-4481
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DOTTIE
MEECE
Title or Position: OWNER/OFFICE MANAGER
Credential:
Phone: 812-359-4012