Organization Name: | FAYETTE MEMORIAL HOSPITAL ASSOC INC |
NPI Number: | 1225098825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN M THOMPSON (CONTROLLER) |
Mailing Address: | 3542 N Western Ave Connersville |
State: | IN US |
Postal Code: | 47331 |
Phone Number: | 7658255323 |
Fax Number: | 7658278687 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |