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Organization
THE HEART GROUP, PC
Active
Organization
THE HEART GROUP, PC
Active
Other names
Henderson Lab and X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WEPSIC M.D. (PRESIDENT)
(812) 464-0521
Entity
Organization
Contact information
Practice address
415 W COLUMBIA ST, EVANSVILLE, IN 47710-1656
(812) 464-0521
(812) 464-0565
Mailing address
1413 N ELM ST, HENDERSON, KY 42420-2768
(270) 826-6277
(270) 827-8735
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
730027
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061910
ANTHEM
—
05
—
100022660
—
IN
05
—
8602051800
—
KY
Enumeration date
05/11/2006
Last updated
06/19/2008
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