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Organization

PHYSICIANS' BILLING OF MGH

Active
Parent organization
MARION GENERAL HOSPITAL
Other names
MGH Medical Oncology
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
831 N THEATRE RD, MARION, IN 46952-1701
(765) 662-4766
(765) 662-4470
Mailing address
1251 W KEM RD, SUITE E, MARION, IN 46952-2555
(765) 662-4133
(765) 651-7313

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100269250
IN
Enumeration date
10/11/2007
Last updated
02/19/2009
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