Organization
PHYSICIANS' BILLING OF MGH
Active
Parent organization
MARION GENERAL HOSPITAL
Other names
Pence-Davis Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION GENERAL HOSPITAL
Authorized official
PAUL USHER L FACHE, CPA, FHFMA (PRESIDENT/CEO)
(765) 662-4776
Entity
Organization
Contact information
Practice address
2651 S 800 W, SWAYZEE, IN 46986-9615
(765) 922-7056
(765) 922-7059
Mailing address
1251 W KEM RD, SUITE E, MARION, IN 46952-2555
(765) 662-4133
(765) 165-1731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269250
—
IN
Enumeration date
01/19/2007
Last updated
02/19/2009
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