SULLIVAN COUNTY COMMUNITY HOSPITAL
NPI 1154939320
Clinic/Center in Sullivan, IN

Q: What is Sullivan County Community Hospital's NPI number?

The NPI number for Sullivan County Community Hospital is 1154939320. It was assigned to this organization in the NPPES registry on July 14, 2020. The provider is doing business as FPA Quickcare.

Q: What is Sullivan County Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 14, 2020CLIA 15D0362144 · Accreditation

2200 N SECTION ST, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sullivan County Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN COUNTY COMMUNITY HOSPITAL (NPI 1154939320), doing business as Fpa Quickcare, is a healthcare organization registered as a clinic/center in Sullivan, Indiana and active in the NPI registry since July 2020. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Darrell D Watson, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1154939320

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSULLIVAN COUNTY COMMUNITY HOSPITAL

Location Address2200 N SECTION STSullivan, IN 47882-7523

Mailing AddressPo Box 10Sullivan, IN 47882-0010 · (812) 268-4311

Phone(812) 268-3318

Organization SubpartNo

Authorized OfficialDarrell D WatsonDirector Of Revenue Cycle · (812) 268-4311

Enumeration DateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1154939320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2200 N SECTION ST, Sullivan, IN 47882

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Other Names 1

Doing Business AsFpa Quickcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D0362144

Sullivan County Community Hospital · Sullivan, IN

Active · expires Jan 2, 2027

CLIA Number15D0362144

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorPatricia Miller Canfield

Laboratory Phone(812) 268-4311

Laboratory LocationSullivan County Community Hospital2200 N Section St PO Box 10, Sullivan, IN 47882

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN H. DOTY P.T.

Physical Therapist