Healthcare Provider Details

I. General information

NPI: 1396754461
Provider Name (Legal Business Name): UNION HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 W NATIONAL AVE
WEST TERRE HAUTE IN
47885-1300
US

IV. Provider business mailing address

1074 W NATIONAL AVE
WEST TERRE HAUTE IN
47885-1300
US

V. Phone/Fax

Practice location:
  • Phone: 812-238-7795
  • Fax: 812-238-7796
Mailing address:
  • Phone: 812-238-7795
  • Fax: 812-238-7796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA A REYNOLDS
Title or Position: DIRECTOR OF PHYSICIAN OPERATIONS
Credential:
Phone: 812-238-7915