WABASH VALLEY HEALTH CENTER INC. NPI 1376974527

NPI Information

WABASH VALLEY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Terre Haute, IN. WABASH VALLEY HEALTH CENTER, INC. NPI is 1376974527. The provider is registered as an organization entity type.

The provider's business location address is:

1436 LOCUST ST
TERRE HAUTE, IN
ZIP 47807-648
Phone: (812) 232-7447

The provider's authorized official is Peter C. Ciancone .
The authorized official title is President Of The Board Of Directors and has the following contact phone number (812) 240-6056.

The CLIA number assigned to this NPI record is 15D2084357 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 6/25/2020.

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:

Other Identifiers

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

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