| Little Company Of Mary Hospital Of Indiana Inc | |
|
600 W 13th St Ste 205 Jasper IN 47546-1883 | |
| (812) 996-5781 | |
| (812) 996-0150 |
| Full Name | Little Company Of Mary Hospital Of Indiana Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 600 W 13th St Ste 205, Jasper, Indiana |
| Authorized Official Name and Position | Edward K Bennett (PRESIDENT-CEO) |
| Authorized Official Contact | 8129960507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Company Of Mary Hospital Of Indiana Inc Po Box 1028 Jasper IN 47547-1028 Ph: (812) 996-8478 | Little Company Of Mary Hospital Of Indiana Inc 600 W 13th St Ste 205 Jasper IN 47546-1883 Ph: (812) 996-5781 |
| NPI Number | 1730712670 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730712670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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