| Hospitalists Of Wabash Valley, Llc | |
|
3901 S 7th St Terre Haute IN 47802-5709 | |
| (812) 237-1100 | |
| Not Available |
| Full Name | Hospitalists Of Wabash Valley, Llc |
|---|---|
| Speciality | Specialist |
| Location | 3901 S 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalists Of Wabash Valley, Llc 3901 S 7th St Terre Haute IN 47802-5709 Ph: (812) 237-1100 | Hospitalists Of Wabash Valley, Llc 3901 S 7th St Terre Haute IN 47802-5709 Ph: (812) 237-1100 |
| NPI Number | 1235319856 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235319856 | NPI | - | NPPES |
| 200922950A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
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