National Provider Identifier Database

INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Rural Health


Contact Information

INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
7 E MAIN ST
GOSPORT, IN47433-7034
Phone: 812-879-4222
Fax: 812-879-4834
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC

NPI Number 1003074972
Legal business name
LBN
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Authorized official MARLON FISHEL - (ADMINISTRATION, IU HEALTH SIP)
Entity Organization
Organization subpart Yes
Enumeration date 05/28/2008
Last updated 07/27/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200874400A
  • IN Other: CI4187 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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