Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1003074972 |
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| LBN Legal business name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC | ||||||||
| Authorized official | MARLON FISHEL - (ADMINISTRATION, IU HEALTH SIP) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 05/28/2008 | ||||||||
| Last updated | 07/27/2022 - About 4 years ago | ||||||||
| Identifiers |
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