1750458667 NPI number — UNION HOSPITAL INC

Table of content: (NPI 1750458667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750458667 NPI number — UNION HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UNION HOSPITAL NEUROSCIENCE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750458667
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
11/05/2007
NPI Reactivation Date:
05/29/2008

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2505
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46206-2505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-238-7783
Provider Business Mailing Address Fax Number:
812-238-4506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1530 N 7TH ST
Provider Second Line Business Practice Location Address:
SUITE 501
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47807-1057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-238-4555
Provider Business Practice Location Address Fax Number:
812-238-4517
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PALLUTCH
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
SYSTEMS DIRECTOR
Authorized Official Telephone Number:
812-238-7000

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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