Organization
FAYETTE MEMORIAL HOSPITAL ASSOC
Active
Other names
Union County Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN M THOMPSON (CONTROLLER AVP)
(765) 827-7709
Entity
Organization
Contact information
Practice address
950 MARKET ST, LIBERTY, IN 47353
(765) 458-5191
Mailing address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331
(765) 827-7762
(765) 827-7796
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OS0050591
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320358
—
OH
Enumeration date
03/15/2006
Last updated
08/22/2020
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