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Organization
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Active
Organization
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Active
Parent organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Other names
Gosport Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Authorized official
MR. MARLON B FISHEL (ADMINISTRATION, IU HEALTH SIP)
(812) 353-5866
Entity
Organization
Contact information
Practice address
7 E MAIN ST, GOSPORT, IN 47433-7034
(812) 879-4222
(812) 879-4834
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 879-4222
(812) 879-4834
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IN
Other
Enumeration date
05/28/2008
Last updated
07/27/2022
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