Associated Physicians & Surgeons Clinic, Llc | |
4601 S 7th St Terre Haute IN 47802-4522 | |
(812) 232-0564 | |
(812) 242-3848 |
Full Name | Associated Physicians & Surgeons Clinic, Llc |
---|---|
Speciality | Family Medicine |
Location | 4601 S 7th St, Terre Haute, Indiana |
Authorized Official Name and Position | Michael P Fouty (CFO/AUTHORIZED REPRESENTITIVE) |
Authorized Official Contact | 8122320564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Associated Physicians & Surgeons Clinic, Llc 221 S 6th St Terre Haute IN 47807-4214 Ph: (812) 232-0564 | Associated Physicians & Surgeons Clinic, Llc 4601 S 7th St Terre Haute IN 47802-4522 Ph: (812) 232-0564 |
NPI Number | 1023107869 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 07/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023107869 | NPI | - | NPPES |
100249630Q | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207RA0201X | Internal Medicine - Allergy & Immunology | (* (Not Available)) | Secondary |
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