FCC TERRE HAUTE NPI 1700203544

NPI Information

FCC TERRE HAUTE is a health service clinic center in Terre Haute, IN. FCC TERRE HAUTE NPI is 1700203544. The provider is registered as an organization entity type.

The provider's business location address is:

4200 BUREAU RD N
TERRE HAUTE, IN
ZIP 47802-128
Phone: (812) 244-4400
Fax: (812) 244-4753

The provider's authorized official is Andrew Rupska .
The authorized official title is Health Service Administrator and has the following contact phone number (812) 244-4400.

The CLIA number assigned to this NPI record is 15D2058181 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/18/2014.

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:

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