# FAYETTE COUNTY PHYSICIAN ORGINAZATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whitewater Valley Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790765147
- **Authorized official:** SURESH PATEL MD (MANAGING MEMBER)
- **Authorized official phone:** (765) 825-8686

## Contact information

- **Practice address:** 1475 E STATE ROAD 44, CONNERSVILLE, IN 47331-8292
- **Practice address phone:** (765) 825-8686
- **Mailing address:** PO BOX 779, CONNERSVILLE, IN 47331-0779
- **Mailing address phone:** (765) 827-1929

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 09/22/2011