# ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043394273
- **Legal business name:** ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
- **Authorized official:** MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (812) 232-0564

## Contact information

- **Practice address:** 3903 S 7TH ST, SUITE 2F, TERRE HAUTE, IN 47802-5710
- **Practice address phone:** (812) 232-0564
- **Practice address fax:** (812) 242-3848
- **Mailing address:** 221 S 6TH ST, TERRE HAUTE, IN 47807-4214
- **Mailing address phone:** (812) 232-0564
- **Mailing address fax:** (812) 242-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0176835 | US DEPT OF LABOR | — |
| 01 | — | 0816010015 | DME | — |
| 01 | — | CA4474 | RAILROAD MEDICARE PALAMET | — |