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	261QP2300X	Primary Care Clinic/Center

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	:	1396754461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION HOSPITAL INC

Provider Business Mailing Address
First Line	:	1074 W NATIONAL AVE
Second Line	:
City	:	WEST TERRE HAUTE
State	:	IN
Zip	:	47885-1300
Country	:	US
Telephone Number	:	812-238-7795
Fax Number	:	812-238-7796

Provider Business Practice Location Address
First Line	:	1074 W NATIONAL AVE
Second Line	:
City	:	WEST TERRE HAUTE
State	:	IN
Zip	:	47885-1300
Country	:	US
Telephone Number	:	812-238-7795
Fax Number	:	812-238-7796

Authorized Official
Title or Position	:	DIRECTOR OF PHYSICIAN OPERATIONS
Name	:	MELISSA A REYNOLDS
Credential	:
Telephone Number	:	812-238-7915

Provider Enumeration Date	:	08/06/2006
Last Update Date	:	08/22/2020

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Directions to “UNION HOSPITAL INC ” Practice Location

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