Organization
TERRE HAUTE HEART CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIMO A ANDRES JR. MD (CEO/PHYSICIAN)
(812) 238-1521
Entity
Organization
Contact information
Practice address
455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
(812) 238-1521
(812) 232-6335
Mailing address
455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
(812) 238-1521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50002041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060013598
RR MEDICARE
IN
Enumeration date
02/08/2006
Last updated
01/28/2015
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