| Union Hosptial Family Medicine West | |
|
1074 W National Ave West Terre Haute IN 47885-1300 | |
| (812) 238-7795 | |
| (812) 238-7796 |
| Full Name | Union Hosptial Family Medicine West |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1074 W National Ave, West Terre Haute, Indiana |
| Authorized Official Name and Position | Melissa A Reynolds (DIRECTOR OF PHYSICIAN OPERATIONS) |
| Authorized Official Contact | 8122387915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Hosptial Family Medicine West 1074 W National Ave West Terre Haute IN 47885-1300 Ph: (812) 238-7795 | Union Hosptial Family Medicine West 1074 W National Ave West Terre Haute IN 47885-1300 Ph: (812) 238-7795 |
| NPI Number | 1396754461 |
|---|---|
| Provider Enumeration Date | 08/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396754461 | NPI | - | NPPES |
| 20074840B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Valley Professionals Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W National Ave, West Terre Haute, IN 47885 Phone: 812-244-1515 Fax: 812-244-1519 |