INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC NPI 1003074972

NPI Information

NPI: 1003074972
Provider Name: INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC

Other Name: GOSPORT FAMILY PRACTICE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
7 E MAIN ST
GOSPORT, IN
ZIP 47433
Phone: (812) 879-4222
Get Directions

INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC is a rural health clinic center in Gosport, IN. INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC NPI is 1003074972. The provider is registered as an organization entity type.
The provider Other Name Is Gosport Family Practice.

The provider's business location address is:

7 E MAIN ST
GOSPORT, IN
ZIP 47433-034
Phone: (812) 879-4222
Fax: (812) 879-4834

The provider's authorized official is Marlon B Fishel .
The authorized official title is Administration, Iu Health Sip and has the following contact phone number (812) 353-5866.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 7/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CI4187	OTHER	INDIANA	RAILROAD MEDICARE
2	200874400A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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