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Contact Information

RUBEN GONZALES MD MEDICAL SERVICES, INC
LBN R.B. GONZALES MEDICAL AND BARIATRIC CENTER INC.
1361 FORT HARRISON RD
TERRE HAUTE, IN47804
 Phone: 812-235-4000
 Fax: 812-235-4004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dietary Manager

132700000X
Indicates primary specialty

NPI Profile & details for RUBEN GONZALES MD MEDICAL SERVICES, INC

NPI Number 1598842254
LBN Legal business name R.B. GONZALES MEDICAL AND BARIATRIC CENTER INC.
DBA Doing business as RUBEN GONZALES MD MEDICAL SERVICES, INC
Authorized official BOBBIE CLARK - (M.A.)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 06/11/2013 - About 6 years ago
Identifiers
IN License # 01035596
IN License # 01052731A
IN Medicaid 100326570
IN Medicaid 200041630A
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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