Organization
FAYETTE COUNTY PHYSICIAN ORGINAZATION LLC
Active
Other names
Whitewater Valley Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH PATEL MD (MANAGING MEMBER)
(765) 825-8686
Entity
Organization
Contact information
Practice address
1475 E STATE ROAD 44, CONNERSVILLE, IN 47331-8292
(765) 825-8686
Mailing address
PO BOX 779, CONNERSVILLE, IN 47331-0779
(765) 827-1929
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200140290
—
IN
Enumeration date
01/20/2006
Last updated
09/22/2011
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