| Little Company Of Mary Hospital Of Indiana, Inc | |
|
721 W 13th St Suite 221 Jasper IN 47546-1855 | |
| (812) 996-0564 | |
| (812) 996-0450 |
| Full Name | Little Company Of Mary Hospital Of Indiana, Inc |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 721 W 13th St, Jasper, Indiana |
| Authorized Official Name and Position | Raymond W Snowden (PRESIDENT, CEO) |
| Authorized Official Contact | 8124822345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Company Of Mary Hospital Of Indiana, Inc Po Box 1028 Jasper IN 47547-1028 Ph: (812) 481-8476 | Little Company Of Mary Hospital Of Indiana, Inc 721 W 13th St Suite 221 Jasper IN 47546-1855 Ph: (812) 996-0564 |
| NPI Number | 1326123910 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326123910 | NPI | - | NPPES |
| CB3118 | Other | IN | RAILROAD MEDICARE |
| 200048850H | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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