# MEDIHEALTH PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083213607
- **Authorized official:** HUBERT REYES MD (OWNER)
- **Authorized official phone:** (812) 270-9903

## Contact information

- **Practice address:** 2345 W FRANKLIN ST STE 102, EVANSVILLE, IN 47712-5100
- **Practice address phone:** (812) 270-9903
- **Mailing address:** 2345 W FRANKLIN ST STE 102, EVANSVILLE, IN 47712-5100
- **Mailing address phone:** (812) 598-9434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/23/2020
- **Last updated:** 06/29/2021