Evergreen Medical Centre

LBN: George M. Wolverton M.D. Inc.
Evergreen Medical Centre is an health care organization with primary practice located at 300 Spring St Ste 3B , Jeffersonville IN 47130-3498. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. George M. Wolverton M.D. Inc. can be contacted via phone (812) 282-4309, or through Johnson, Steven Mitchell via phone (812) 282-4309.

Contact Information

Primary practice address
300 Spring St Ste 3B Jeffersonville IN 47130-3498
Phone: (812) 282-4309
Fax: (812) 283-8299
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Steven Mitchell Doctor of Osteopathy (DO)
Phone: (812) 282-4309

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50000563 Indiana

Profile Details

NPI number 1962421990
LBN Legal business name George M. Wolverton M.D. Inc.
DBA Doing business as Evergreen Medical Centre
Authorized official Johnson, Steven Mitchell Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962421990 NPPES
Indiana Other 011760466 RAILROAD MEDICARE

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