Organization
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Active
Parent organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Other names
Gosport Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Authorized official
MR. MARLON B FISHEL (ADMINISTRATION, IU HEALTH SIP)
(812) 353-5866
Entity
Organization
Contact information
Practice address
7 E MAIN ST, GOSPORT, IN 47433-7034
(812) 879-4222
(812) 879-4834
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 879-4222
(812) 879-4834
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200874400A
—
IN
01
—
CI4187
RAILROAD MEDICARE
IN
Enumeration date
05/28/2008
Last updated
07/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us