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 |