Organization
PHYSICIANS' HEALTH GROUP, LLC
Active
Organization
PHYSICIANS' HEALTH GROUP, LLC
Active
Other names
Bellemeade Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN ANN WEINERT (EXECUTIVE DIRECTOR)
(812) 485-1818
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
(812) 485-1713
Mailing address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
(812) 485-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01027359A
IN
207RI0200X
Infectious Disease Physician
01045998A
IN
363LF0000X
Family Nurse Practitioner
71001430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245652
BCBS
IN
01
—
CK6066
RAILROAD MEDICARE
—
Enumeration date
03/09/2006
Last updated
04/20/2008
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