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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