Providence Medical Group LLC
Providence Medical Group LLC is a Multi-Specialty Clinic/Center in Terre Haute, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2723 S 7th St Ste ATerre Haute, IN 47802-3558
Phone: (812) 232-8164
Fax: (812) 234-6391
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X (IN) |
|---|
Record details
| NPI number | 1891729141 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Bittar — Owner · (812) 232-8164 |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | October 9, 2020 |
| Certification date | October 9, 2020 |
| Mailing address | 2723 S 7th St, Suite A, Terre Haute, IN 47802-3558 |