institution
Providence Medical Group Llc
Multi-Specialty Clinic/Center in Terre Haute, Indiana
NPI 1891729141

Providence Medical Group Llc is a Multi-Specialty Clinic/Center based in Terre Haute, IN and is specialized in Multi-Specialty. Providence Medical Group Llc practices in Terre Haute, IN. The NPI Number for Providence Medical Group Llc is 1891729141 and holds a License No. (Indiana).

The current practice location address for Providence Medical Group Llc is 2723 S 7Th St, Terre Haute, IN and can be reached out via phone at 812-232-8164 and via fax at 812-234-6391. You can also correspond with Providence Medical Group Llc through the mailing address at 2723 S 7TH ST, TERRE HAUTE, IN - 47802-3558 (mailing address contact number: 812-238-1730).

Location: 2723 S 7Th St, Terre Haute, IN, 47802-3558
institution
Provider Profile Details
NPI Number
1891729141
Provider Name
Providence Medical Group Llc
Credential
Provider Entity Type
Organization
Address
2723 S 7Th St, Terre Haute, IN, 47802-3558
Phone Number
812-232-8164
Fax Number
812-234-6391
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG4466 01 IN RAILROAD MEDICARE
CH9272 01 IN RAILROAD MEDICARE
200261130 05 IN
200398780 05 IN
institution
Provider Business Practice Location Address Details
Address
2723 S 7Th St
City
State
Zip
47802-3558
Phone Number
812-232-8164
Fax Number
812-234-6391
person
Provider Business Mailing Address Details
Address
2723 S 7Th St
City
State
Zip
47802-3558
Phone Number
812-232-8164
Fax Number
812-234-6391
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Indiana)
Definition
Definition to come...
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