Organization
RANDALL HILE MD PC
Active
Organization
RANDALL HILE MD PC
Active
Other names
Randall Hile MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL LEE HILE M.D. (PHYSICIAN)
(219) 696-0779
Entity
Organization
Contact information
Practice address
1020 E COMMERCIAL AVE, LOWELL, IN 46356-2310
(219) 696-3052
(219) 696-4629
Mailing address
6105 W 177TH AVE, LOWELL, IN 46356-1971
(219) 696-0779
(219) 696-4629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085930
BLUE CROSS BLUE SHIELD
IN
01
—
110007891
RAILROAD MEDICARE
IN
05
—
200900500
—
IN
Enumeration date
07/09/2006
Last updated
03/06/2012
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