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General NPI Number Information
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NPI Number | 1710983945
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 720 S 6TH ST
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City | MONTICELLO
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State | IN
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Zip | 47960-8182
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Country | US
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Telephone | 574-583-7111
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Fax | 574-583-1703
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Provider Business Mailing Address
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Address Line | 950 N MERIDIAN ST STE 1200
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1011
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Country | US
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Telephone | 317-962-1093
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY MINIER
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Credential |
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Telephone | 574-583-1757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 050050341
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License Number State | IN
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