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General NPI Number Information
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NPI Number | 1164411229
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Entity Type | Organization
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Legal Business Name | WABASH VALLEY HOSPITALISTS LLC
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 3901 S 7TH ST ROOM 452
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5709
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Country | US
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Telephone | 812-237-9217
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Fax | 812-237-1395
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Provider Business Mailing Address
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Address Line | 3901 S 7TH ST ROOM 452
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City | TERRE HAUTE
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State | IN
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Zip | 47802-5709
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Country | US
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Telephone | 812-237-9217
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Fax | 812-237-1395
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PATRICK BIRMINGHAM
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Credential |
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Telephone | 615-373-7625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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