SOUTHERN INDIANA WORK TEAM LLC NPI 1063743540

NPI Information

NPI: 1063743540
Provider Name: SOUTHERN INDIANA WORK TEAM LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
2900 W. 16TH STREET
BEDFORD, IN
ZIP 47421
Phone: (812) 275-9675
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SOUTHERN INDIANA WORK TEAM LLC is an occupational medicine clinic center in Bedford, IN. SOUTHERN INDIANA WORK TEAM LLC NPI is 1063743540. The provider is registered as an organization entity type.

The provider's business location address is:

2900 W. 16TH STREET
BEDFORD, IN
ZIP 47421-510
Phone: (812) 275-9675
Fax: (812) 275-1232

The provider's authorized official is Charles L Shetler .
The authorized official title is Cfo and has the following contact phone number (812) 275-1353.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 1/22/2010.

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	261QX0100X	Clinic/Center	Occupational Medicine		INDIANA	Yes

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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