Organization
PHYSICIANS' BILLING OF MGH
Active
Organization
PHYSICIANS' BILLING OF MGH
Active
Parent organization
MARION GENERAL HOSPITAL
Other names
MGH Specialty Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION GENERAL HOSPITAL
Authorized official
PAUL L USHER FACHE, CPA, FHFMA (PRESIDENT/CEO)
(765) 662-4776
Entity
Organization
Contact information
Practice address
330 N WABASH AVE, SUITE 430, MARION, IN 46952-2686
(765) 671-3153
(765) 671-3155
Mailing address
1251 W KEM RD, SUITE E, MARION, IN 46952-2555
(765) 662-4133
(765) 251-7313
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269250
—
IN
Enumeration date
10/24/2007
Last updated
02/19/2009
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