# UNION ASSOCIATED PHYSICIANS CLINIC, LLC

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

## Provider details

- **NPI number:** 1255665451
- **Legal business name:** UNION ASSOCIATED PHYSICIANS CLINIC, LLC
- **Authorized official:** MICHAEL P FOUTY (CFO)
- **Authorized official phone:** (812) 232-0564

## Contact information

- **Practice address:** 1530 N 7TH ST, SUITE 200, TERRE HAUTE, IN 47807-1057
- **Practice address phone:** (812) 242-3115
- **Practice address fax:** (812) 235-9580
- **Mailing address:** 221 S 6TH ST, TERRE HAUTE, IN 47807-4214
- **Mailing address phone:** (812) 232-0564
- **Mailing address fax:** (812) 242-3861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2009
- **Last updated:** 08/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200975660 | — | IN |
| 01 | — | DQ0893 | RAILROAD MEDICARE | IN |