| Family Medicine Of Terre Haute, Llc | |
|
3903 S 7th St Suite 2f Terre Haute IN 47802-5710 | |
| (812) 237-9890 | |
| Not Available |
| Full Name | Family Medicine Of Terre Haute, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3903 S 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Bridgett Sullivan (OFFICE MANAGER) |
| Authorized Official Contact | 8122379890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Terre Haute, Llc 3903 S 7th St Suite 2f Terre Haute IN 47802-5710 Ph: (812) 237-9890 | Family Medicine Of Terre Haute, Llc 3903 S 7th St Suite 2f Terre Haute IN 47802-5710 Ph: (812) 237-9890 |
| NPI Number | 1801065552 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801065552 | NPI | - | NPPES |
| 200921400 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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