WEST MAIN STREET MEDICAL CENTER PC NPI 1437475464

NPI Information

NPI: 1437475464
Provider Name: WEST MAIN STREET MEDICAL CENTER PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4760 WEST US 40
RICHMOND, IN
ZIP 47374
Phone: (765) 965-6679
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WEST MAIN STREET MEDICAL CENTER PC is an urgent care clinic center in Richmond, IN. WEST MAIN STREET MEDICAL CENTER PC NPI is 1437475464. The provider is registered as an organization entity type.

The provider's business location address is:

4760 WEST US 40
RICHMOND, IN
ZIP 47374
Phone: (765) 965-6679

The provider's authorized official is William David Rheuble .
The authorized official title is Owner/physician and has the following contact phone number (765) 965-6679.

The enumeration date for this NPI number is 4/15/2010 and was last updated on 8/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	01034479	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	905930	MEDICARE PIN	INDIANA
2	100471010A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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