MEDICARE: GREENE COUNTY HEALTH CLINIC, 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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1699753285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENE COUNTY HEALTH CLINIC, LLC

Provider Business Mailing Address
First Line	:	12 W MAIN ST
Second Line	:
City	:	BLOOMFIELD
State	:	IN
Zip	:	47424-1424
Country	:	US
Telephone Number	:	812-384-0044
Fax Number	:	812-384-0040

Provider Business Practice Location Address
First Line	:	12 W MAIN ST
Second Line	:
City	:	BLOOMFIELD
State	:	IN
Zip	:	47424-1424
Country	:	US
Telephone Number	:	812-384-0044
Fax Number	:	812-384-0040

Authorized Official
Title or Position	:	OWNER
Name	:	KELLY HARDING
Credential	:
Telephone Number	:	812-384-0044

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1417284415 — PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA
Practice Location Address:

12 W MAIN ST
BLOOMFIELD, IN
47424-1424

Practice Phone: 812-824-5690
Practice Fax: 812-824-5692

1770581266 — GREENE COUNTY AUDITOR
Practice Location Address:

217 E SPRING ST , SUITE # 5
BLOOMFIELD, IN
47424-1589

Practice Phone: 812-384-2057
Practice Fax: 812-384-2058

1669456760 — MR. JAY LOUIS CIMMER LMFT
Practice Location Address:

30 W INDIANA AVE
BLOOMFIELD, IN
47424-1200

Practice Phone: 812-384-3946
Practice Fax: 812-384-3948

1467427500 — DR. PATRICIA MILLER-CANFIELD M.D.
Practice Location Address:

5206 N STATE ROAD 157
BLOOMFIELD, IN
47424-6557

Practice Phone: 937-206-4576
Practice Fax:

1275591190 — KATEY BARUTH PHD, HSPP
Practice Location Address:

431 E MAIN ST
BLOOMFIELD, IN
47424-1460

Practice Phone: 812-384-9452
Practice Fax: 812-384-9445

1881622900 — MRS. JODY LYNN ROOT FNP-BC
Practice Location Address:

10858 E STATE ROAD 54 , SUITE #1
BLOOMFIELD, IN
47424-6069

Practice Phone: 812-400-0067
Practice Fax: 812-400-0067

Directions to “GREENE COUNTY HEALTH CLINIC, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.