Organization
FRANCISCAN ST ELIZABETH HEALTH
Active
Other names
St Elizabeth Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE E WILSON (CEO)
(765) 502-4000
Entity
Organization
Contact information
Practice address
1345 UNITY PL, SUITE 365, LAFAYETTE, IN 47905-5760
(765) 446-5417
(765) 446-5317
Mailing address
PO BOX 660550, INDIANAPOLIS, IN 46266-0500
(765) 502-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
IN
207RX0202X
Medical Oncology Physician
Primary
—
IN
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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