Organization
PHYSICIANS' BILLING OF MGH
Active
Parent organization
MARION GENERAL HOSPITAL
Other names
Douglas Rex, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION GENERAL HOSPITAL
Authorized official
MR. PAUL L. USHER FACHE, CPA, FHFMA (PRESIDENT/CEO)
(765) 662-4776
Entity
Organization
Contact information
Practice address
330 N WABASH, SUITE 340, MARION, IN 46952-2678
(765) 664-3916
(765) 662-4724
Mailing address
1251 KEM ROAD, SUITE E, MARION, IN 46952-2555
(765) 662-4133
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269250
—
IN
Enumeration date
07/31/2009
Last updated
04/30/2010
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