FORTVILLE COMMUNITY MEDICINE
NPI 1255356549
Family Medicine in Fortville, IN
- Organization
- Family Medicine
- CLIA Number: 15D1043047
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-13-2027
About FORTVILLE COMMUNITY MEDICINE
This page provides the complete NPI Profile along with additional information for Fortville Community Medicine, a primary care provider established in Fortville, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255356549 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Fortville Community Medicine. The authorized official of this NPI record is Jeffery Kirkham (Cfo)
- NPI
- 1255356549 Verify this NPI
- Provider Legal Name
- COMMUNITY HOSPITAL OF INDIANA INC
- Other Organization Name
- FORTVILLE COMMUNITY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 717 E BROADWAY ST FORTVILLE, IN 46040
- Location Phone
- (317) 621-9220
- Location Fax
- (317) 621-9222
- Mailing Address
- 717 E BROADWAY ST FORTVILLE, IN 46040
- Mailing Phone
- (317) 621-9220
- Mailing Fax
- (317) 621-9222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2006
- Last Update Date
- 09-30-2009
- Code Navigator
A primary care provider (PCP) like Fortville Community Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230240 | MEDICARE PIN (08) | ||
| 200406960G | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D1043047
- Facility Type
- Physician Office
- Certificate Effective Date
- July 14, 2025
- Certificate Expiration Date
- July 13, 2027
- Laboratory Director
- BRENDAN LEROY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fortville Community Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FORTVILLE COMMUNITY MEDICINE
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255356549, enumerated as an "organization" on July 13, 2006.
The provider is located at 717 E BROADWAY ST FORTVILLE, IN 46040 and the phone number is (317) 621-9220.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
