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NPI Code Detail

MEDICARE: CRITICAL ACCESS HEALTH SERVICES CORP.

MEDICARE: CRITICAL ACCESS HEALTH SERVICES CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance
2207L00000XAnesthesiology Physician
3207P00000XEmergency Medicine Physician
4207Q00000XFamily Medicine Physician
5207V00000XObstetrics & Gynecology Physician
6207X00000XOrthopaedic Surgery Physician
72085R0202XDiagnostic Radiology Physician
8275N00000XMedicare Defined Swing Bed Hospital Unit
9282NC0060XCritical Access HospitalIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821223439
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRITICAL ACCESS HEALTH SERVICES CORP.
Provider Business Mailing Address
First Line : 911 N SHELBY ST
Second Line :
City : SALEM
State : IN
Zip : 47167-2304
Country : US
Telephone Number : 812-883-8550
Fax Number :
Provider Business Practice Location Address
First Line : 911 N SHELBY ST
Second Line :
City : SALEM
State : IN
Zip : 47167-2304
Country : US
Telephone Number : 812-883-8550
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JOSEPH E. ROCHE
Credential :
Telephone Number : 812-883-8550
Provider Enumeration Date : 05/27/2009
Last Update Date : 10/02/2009

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1659543536 — BROCK EMERGENCY PHYSICIANS
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911 N SHELBY ST
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47167-2304
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1477729234 — DR. ABDELRAHMAN M ABDALLA MD
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1497987259 — WASHINGTON COUNTY EMERGENCY MEDICAL SERVICES, INC.
Practice Location Address:
911 N SHELBY ST
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47167-2304
Practice Phone: 812-883-8550
Practice Fax: 812-883-8563

Directions to “CRITICAL ACCESS HEALTH SERVICES CORP. ” Practice Location

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