MEDICARE: UNION HOSPITAL INC

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
1	261QR1300X	Rural Health Clinic/Center		IN

Other Identifiers

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

General Provider Information

NPI Number	:	1013087048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION HOSPITAL INC

Provider Business Mailing Address
First Line	:	221 S 6TH ST
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47807-4214
Country	:	US
Telephone Number	:	812-242-3157
Fax Number	:	812-242-3861

Provider Business Practice Location Address
First Line	:	115 S MURPHY AVE
Second Line	:	STE A
City	:	BRAZIL
State	:	IN
Zip	:	47834-8296
Country	:	US
Telephone Number	:	812-442-2100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEVE HOLMAN
Credential	:
Telephone Number	:	812-238-7606

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/20/2023

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Directions to “UNION HOSPITAL INC ” Practice Location

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