| Vpchc-south Terre Haute | |
|
4757 S 7th St Terre Haute IN 47802-4559 | |
| (812) 234-2289 | |
| (812) 232-4234 |
| Full Name | Vpchc-south Terre Haute |
|---|---|
| Speciality | Clinic/Center |
| Location | 4757 S 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Terry J Warren (CEO) |
| Authorized Official Contact | 7658281003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpchc-south Terre Haute Po Box 344 Clinton IN 47842-0344 Ph: (765) 828-1003 | Vpchc-south Terre Haute 4757 S 7th St Terre Haute IN 47802-4559 Ph: (812) 234-2289 |
| NPI Number | 1962085449 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 7618067265 |
|---|---|
| Medicare Enrollment ID | O20210527000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962085449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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