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Organization

OAKLAND CITY FAMILY PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY C GEHLHAUSEN DO (OWNER, MANAGER)
(812) 749-6187
Entity
Organization

Contact information

Practice address
HWY 64 W, OAKLAND CITY, IN 47660-0266
(812) 749-6187
(812) 749-6187
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200176150A
IN
Enumeration date
10/31/2006
Last updated
01/26/2011
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