Organization
WEST MAIN STREET MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID RHEUBLE M.D (OWNER/PHYSICIAN)
(765) 965-6679
Entity
Organization
Contact information
Practice address
4760 WEST US 40, RICHMOND, IN 47374
(765) 965-6679
Mailing address
4760 WEST US 40, RICHMOND, IN 47374
(765) 965-6679
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
01034479
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100471010A
—
IN
Enumeration date
04/15/2010
Last updated
08/09/2010
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