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Contact Information

BOARD OF TRUSTEES OF WELBORN CLINIC
3434 W STATE ROAD 66
ROCKPORT, IN47635-9259
 Phone: 812-649-5061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for BOARD OF TRUSTEES OF WELBORN CLINIC

NPI # 1124166194
LBN Legal business name BOARD OF TRUSTEES OF WELBORN CLINIC
Authorized official DAVID CHRISTESON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 11/29/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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