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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE MEDICAL GROUP LLC

Active Organization

PROVIDENCE MEDICAL GROUP LLC is a Multi-Specialty Clinic organization located in TERRE HAUTE, Indiana. NPI 1891729141 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · TERRE HAUTE, IN

Registration Details

NPI Number
1891729141
Provider Type
Organization
NPI Issued
Jul 11, 2006 (20.123456280136 yrs)
Last Updated
Oct 9, 2020

Practice Information

Address
2723 S 7TH ST
SUITE A
TERRE HAUTE, IN, 478023558
Browse IN providers · Browse ZIP 47802
Phone
8122328164
Fax
8122346391
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.