Provider Demographics
NPI: | 1427345669 |
---|---|
Name: | UNION HOSPITAL, INC. |
Entity type: | Organization |
Organization Name: | UNION HOSPITAL, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PATIENT ACCOUNT LEAD |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | WESLEY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HUGHES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 812-238-7904 |
Mailing Address - Street 1: | 1606 NO. 7TH STREET |
Mailing Address - Street 2: | |
Mailing Address - City: | TERRE HAUTE |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 47804-2706 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 812-238-7904 |
Mailing Address - Fax: | 812-242-3861 |
Practice Address - Street 1: | 727 NO. LINCOLN RD |
Practice Address - Street 2: | UNION HOSPITAL INC. D/B/A ROCKVILLE FAMILY MEDICINE |
Practice Address - City: | ROCKVILLE |
Practice Address - State: | IN |
Practice Address - Zip Code: | 47872-1117 |
Practice Address - Country: | US |
Practice Address - Phone: | 765-569-1123 |
Practice Address - Fax: | 765-569-6412 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-07-08 |
Last Update Date: | 2011-08-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Single Specialty |