# TERRE HAUTE HEART CENTER, INC

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

## Provider details

- **NPI number:** 1972576262
- **Authorized official:** DR. PRIMO A ANDRES JR. MD (CEO/PHYSICIAN)
- **Authorized official phone:** (812) 238-1521

## Contact information

- **Practice address:** 455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
- **Practice address phone:** (812) 238-1521
- **Practice address fax:** (812) 232-6335
- **Mailing address:** 455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
- **Mailing address phone:** (812) 238-1521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 50002041A | IN | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 01/28/2015