West Main Street Medical Center Pc

LBN: West Main Street Medical Center Pc
West Main Street Medical Center Pc is an health care organization with primary practice located at 4760 West Us 40 , Richmond IN 47374. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. West Main Street Medical Center Pc can be contacted via phone (765) 965-6679, or through Rheuble, William David via phone (765) 965-6679.

Contact Information

Primary practice address
4760 West Us 40 Richmond IN 47374
Fax:
Website:
Authorized official contact:
Name: Rheuble, William David Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 01034479 Indiana

Profile Details

NPI number 1437475464
LBN Legal business name West Main Street Medical Center Pc
DBA Doing business as
Authorized official Rheuble, William David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2010
Last updated Aug 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437475464 NPPES
Indiana MEDICAID 100471010A

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