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General NPI Number Information
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NPI Number | 1699713339
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Entity Type | Organization
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Legal Business Name | FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 800 HIGHLANDER POINT STE 103 FLOYD MEMORIAL HOSPITAL AND HEALTH SVCS FMH URGENT CARE
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-9465
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Country | US
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Telephone | 812-923-6336
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Fax | 812-923-0144
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Provider Business Mailing Address
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Address Line | 3702 RELIABLE PARKWAY FLOYD MEMORIAL HOSPITAL AND HEALTH SVCS FMH URGENT CARE
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City | CHICAGO
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State | IL
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Zip | 60686-0038
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Country | US
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Telephone | 812-949-5482
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Fax | 812-949-5966
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. EDWARD W. MILLER
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Credential |
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Telephone | 812-949-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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