Providence Medical Group Llc in Terre Haute - Multi-specialty
Providence Medical Group Llc - NPI 1891729141
Providence Medical Group Llc is a Multi-specialty in Terre Haute, Indiana. Providence Medical Group Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Providence Medical Group Llc is 1891729141. The last update date is 2020-10-09.
Providence Medical Group Llc's current location address is 2723 S 7th St, Terre Haute, Indiana. You can contact this provider via phone number 8122381730 and fax number 8182421565. The mailing address for Providence Medical Group Llc is 2723 S 7th St, Terre Haute, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Medical Group Llc |
|---|---|
| Address | 2723 S 7th St, Terre Haute, Indiana |
| Phone Number | 8122381730 |
| Fax Number | 8182421565 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bittar B George |
| Telephone Number | 8122328164 |
NPI Number Detail
| NPI Number | 1891729141 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | 2723 S 7th St |
|---|---|
| City | Terre Haute |
| State | Indiana (IN) |
| Post Code | 478023558 |
| Phone Number | 8122381730 |
| Fax Number | 8182421565 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG4466 | IN | RAILROAD MEDICARE | |
| CH9272 | IN | RAILROAD MEDICARE | |
| 200261130 | IN | -- | |
| 200398780 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Providence Medical Group Llc by the Centers for Medicare & Medicaid Services?
The Providence Medical Group Llc has been issued the NPI (National Provider Identifier) 1891729141. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Providence Medical Group Llc is geographically located?
The Providence Medical Group Llc is physically situated at the following location: 2723 S 7Th St, Terre Haute, IN, 478023558.
What is the Providence Medical Group Llc's specialty and taxonomy code?
The Providence Medical Group Llc's specialty is Multi-specialty, and the corresponding taxonomy code is 261Qm1300X.
When did Providence Medical Group Llc receive its 1891729141 assignment?
The Providence Medical Group Llc was assigned its 1891729141 on 2006-07-11, which is the date when this unique identifier was issued to the organization.
When was the Providence Medical Group Llc's information last updated?
The Providence Medical Group Llc's information was last updated on 2020-10-09.