Organization
INDIANA UNIVERSITY HEALTH MORGAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J PHILLIPS (DIRECTOR OF REVENUE CYCLE)
(765) 349-6500
Entity
Organization
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6500
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201067960A
—
IN
Enumeration date
06/20/2007
Last updated
09/07/2012
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