# FAYETTE MEMORIAL HOSPITAL ASSOC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Connersville Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225098825
- **Authorized official:** MRS. MARILYN M THOMPSON (CONTROLLER)
- **Authorized official phone:** (765) 827-7709

## Contact information

- **Practice address:** 3542 N WESTERN AVE, CONNERSVILLE, IN 47331
- **Practice address phone:** (765) 825-5323
- **Practice address fax:** (765) 827-8687
- **Mailing address:** 1941 VIRGINIA AVE, CONNERSVILLE, IN 47331
- **Mailing address phone:** (765) 827-7762
- **Mailing address fax:** (765) 827-7796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 08/22/2020