FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC. NPI 1518927128

NPI Information

NPI: 1518927128
Provider Name: FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.

Doing Business As: FAYETTE SALARIED PHYSICIANS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1941 VIRGINIA AVE
CONNERSVILLE, IN
ZIP 47331
Phone: (765) 827-8933
Get Directions

FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC. is a cardiovascular disease internal medicine in Connersville, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC. NPI is 1518927128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fayette Salaried Physicians.

The provider's business location address is:

1941 VIRGINIA AVE
CONNERSVILLE, IN
ZIP 47331-833
Phone: (765) 827-8933
Fax: (765) 827-7863

The provider's authorized official is Randall White .
The authorized official title is Ceo and has the following contact phone number (765) 825-5131.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/8/2016.

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	Primary
1	207L00000X	Anesthesiology		No
2	207X00000X	Orthopaedic Surgery		No
3	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	No
4	208100000X	Physical Medicine & Rehabilitation		No
5	208600000X	Surgery		No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	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	100268220	MEDICAID	INDIANA
2	231420	MEDICARE PIN	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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