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Wabash Valley Infectious Diseases Clinic Llc
Medical Specialty Clinic/Center in Terre Haute, Indiana
NPI 1093953234

Wabash Valley Infectious Diseases Clinic Llc is a Medical Specialty Clinic/Center based in Terre Haute, IN and is specialized in Medical Specialty. Wabash Valley Infectious Diseases Clinic Llc practices in Terre Haute, IN. The NPI Number for Wabash Valley Infectious Diseases Clinic Llc is 1093953234 and holds a License No. 01052586A (Indiana).

The current practice location address for Wabash Valley Infectious Diseases Clinic Llc is 2112 S 3Rd St, Terre Haute, IN and can be reached out via phone at 812-645-3472.

Location: 2112 S 3Rd St, Terre Haute, IN, 47802-3045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093953234
Provider Name
Wabash Valley Infectious Diseases Clinic Llc
Credential
Provider Entity Type
Organization
Address
2112 S 3Rd St, Terre Haute, IN, 47802-3045
Phone Number
812-645-3472
Fax Number
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 PENDING
institution
Provider Business Practice Location Address Details
Address
2112 S 3Rd St
City
Terre Haute
State
Indiana
Zip
47802-3045
Phone Number
812-645-3472
Fax Number
person
Provider Business Mailing Address Details
Address
2112 S 3Rd St
City
Terre Haute
State
Indiana
Zip
47802-3045
Phone Number
812-645-3472
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
01052586A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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