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Organization

UNION ASSOCIATED PHYSICIANS CLINIC, LLC

Active
Parent organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Authorized official
MICHAEL P FOUTY (CFO)
(812) 232-0564
Entity
Organization

Contact information

Practice address
1145 INDIANAPOLIS RD, GREENCASTLE, IN 46135-2408
(765) 653-8453
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200975660
IN
01
DQ0893
RAILROAD MEDICARE
IN
Enumeration date
09/17/2009
Last updated
08/12/2010
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