MEDICARE: NEIL STRAIT HILL NORTH VERNON FAMILY MEDICINE

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	:	1710070636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIL STRAIT HILL NORTH VERNON FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	939 VETERANS DR
Second Line	:	SUITE A
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-2602
Country	:	US
Telephone Number	:	812-352-8333
Fax Number	:	812-352-0022

Provider Business Practice Location Address
First Line	:	939 VETERANS DR
Second Line	:	SUITE A
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-2602
Country	:	US
Telephone Number	:	812-352-8333
Fax Number	:	812-352-0022

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NEIL STRAIT HILL
Credential	:	D.O.
Telephone Number	:	812-352-8333

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	06/19/2008

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