Organization
PHYSICIANS' BILLING OF MGH
Active
Parent organization
MARION GENERAL HOSPITAL
Other names
Mississinewa Medical Center, Dr. Lori Fuqua
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
717 E MAIN ST, GAS CITY, IN 46933-1545
(765) 677-4719
(765) 677-4727
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
207Q00000X
Family Medicine Physician
Primary
01036109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269250
—
IN
Enumeration date
02/11/2008
Last updated
02/19/2009
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