# UNION ASSOCIATED PHYSICIANS CLINIC, LLC

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

## Provider details

- **NPI number:** 1770847865
- **Authorized official:** MICHAEL P FOUTY (CRO)
- **Authorized official phone:** (812) 242-3434

## Contact information

- **Practice address:** 1000 N ALLEN ST, CRAWFORD MEMORIAL HOSPITAL SPECIALTY OUTREACH CLINIC, ROBINSON, IL 62454-1167
- **Practice address phone:** (618) 546-2591
- **Practice address fax:** (618) 546-2668
- **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 |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 07/03/2012