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Contact Information

INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC
301 HENRY ST
NORTH VERNON, IN47265
 Phone: 812-352-4200
 Fax: 317-870-0499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC

NPI # 1861783326
LBN Legal business name INDIANA PHYSICIAN MANAGEMENT-JENNINGS, LLC
Authorized official STEWART BICK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2011
Last updated 01/11/2013 - About 13 years ago
Identifiers
IN Medicaid 201032430A
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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