✓ Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center (261QR1300X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

GREENE COUNTY GENERAL HOSPITAL (NPI #1821585563)

Clinic/Center, Rural Health • BLOOMFIELD, IN • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1821585563
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QR1300X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
55 N JUDGE ST, BLOOMFIELD, IN, 47424
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (844) 658-7526
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821585563 (GREENE COUNTY GENERAL HOSPITAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1821585563 (NPI-2 Organization / Facility)
Provider / Legal NameGREENE COUNTY GENERAL HOSPITAL
Plain-English SpecialtyLicensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
NUCC Code: 261QR1300X (Clinic/Center, Rural Health)
Certifying / Licensing BodyAccreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address55 N JUDGE ST, BLOOMFIELD, IN, 47424
Practice Telephone / FaxTel: (812) 847-4481 | Fax: (844) 658-7526
Administrative Mailing Address1185 N 1000 W, LINTON, IN, 47441-5282
Enumeration & Last SyncEnumerated: 2018-04-18 | CMS Record Updated: 2019-07-10
Authorized OfficialWENDY SPURLIN (Executive Assistant)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

55 N JUDGE ST, BLOOMFIELD, IN, 47424

🗺️ Open in Google Maps 🏥 More Providers in BLOOMFIELD

Plain-English Taxonomy & CMS Crosswalk (261QR1300X)

What Does Taxonomy Code 261QR1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Rural Health Clinic)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GREENE COUNTY GENERAL HOSPITAL)

Typical CPT / Diagnostic Procedures:
  • Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
  • Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
Common Therapeutic Classes:
  • Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
174400000X — Specialist
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: IN | License: 180050611 | Primary: Secondary
1041C0700X — Social Worker, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
State: IN | License: 180050611 | Primary: Secondary
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: IN | License: 180050611 | Primary: Secondary
207V00000X — Obstetrics & Gynecology
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: IN | License: 180050611 | Primary: Secondary
208000000X — Pediatrics
Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
State: IN | License: 180050611 | Primary: Secondary
363A00000X — Physician Assistant
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
State: IN | License: 180050611 | Primary: Secondary
363LF0000X — Nurse Practitioner, Family
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
State: IN | License: 180050611 | Primary: Secondary
261QR1300X — Clinic/Center, Rural Health
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: IN | License: 180050611 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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