Fayette County Physician Orginazation LLC
Clinic/Center, Urgent Care in Connersville, IN. Organization (NPI-2).
NPI number1790765147
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1790765147
- Entity type
- Organization (NPI-2)
- Legal business name
- Fayette County Physician Orginazation LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Other names
- Whitewater Valley Urgent Care (Doing Business As)
Practice location
1475 E State Road 44Connersville, IN 47331-8292
Phone 765-825-8686
Mailing address
Po Box 779Connersville, IN 47331-0779
Phone 765-827-1929
Authorized official
Suresh Patel
Managing Member
7658258686
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