812.238.7000 for Union Hospital Terre Haute
765.832.1234 for Union Hospital Clinton

Union Health

Rural Health Clinics

Many people have the impression that rural life is idyllic, and it can be. But there is also a significant amount of poverty, a high proportion of elderly, and a lack of infrastructure in rural areas. Often, older, retiring providers aren't replaced by younger physicians, therefore creating shortage areas. Although nearly 25% of the nation's population lives in rural and frontier areas, only about 10% of physicians choose to practice in these areas.

To address this disparity, the U.S. Congress passed legislation in 1977 that set criteria for the establishment of federally certified Rural Health Clinics (RHCs). Public Law 95-210 supports and encourages access to health care by rural residents. Because Rural Health Clinics receive cost-based reimbursement, providers are turning to RHC programs to be able to provide services to the rural poor and elderly.

The Clay City Center for Family Medicine (CCCFM) is an independent RHC which is part of the Union Hospital system. The CCCFM is managed by the Lugar Center for Rural Health due to the Lugar Center's focus on addressing barriers to health care access and availability for rural and underserved patients and families.

Health care provision to rural populations through Rural Health Clinics like the Clay City Center for Family Medicine:

(1) allows access in areas that otherwise would not have sustainable health care

(2) encourages mid-level providers (Physician Assistants and Nurse Practitioners) to be an integral part of the health care delivery system

(3) gives rural citizens the opportunity to learn about and accept the skills of mid-level providers

(4) allows the potential for additional services in rural areas that might otherwise not be available in a private practitioner's office, such as psychological, social work, and allied therapy services.

For more detailed information about Rural Health Clinics, contact the National Association of Rural Health Clinics at www.narhc.org


Clay City Center for Family Medicine

The Clay City Center for Family Medicine provides family medical services, mental health counseling, and radiology and laboratory services. Other benefits include:

  • Same day appointments available
  • No cost eye exams
  • Accepts most insurance, Medicare and Medicaid



Monday – Thursday 8 a.m. - 5 p.m.  

Friday 8 a.m. - 4:30 p.m.

315 Lankford St.
Clay City, IN 47841 


Our Care Providers

Nancy Breitweiser, MD
Jamie-Dillon-pic-web Jamie Dillon, FNP

CCFM  Click image to the  left for CCCFM flyer.

Clay City Center for Family Medicine History

The center was established in 1993 in a 2,000 square foot building with three exam rooms, an office area, a large reception room and a small laboratory. The offices were moderately equipped for the purpose of ambulatory patient care. In October 1996, CCCFM moved into a new and expanded facility. The expanded facility encompasses approximately 7,000 square feet to accommodate an advanced family medicine clinic and a significantly increased amount of space for training residents, medical students, midlevel providers and mental health students. The facility includes a mental health counseling room, an eye examination room, and a medical laboratory designed to support an advanced range of healthcare services.