| NPI | 1770533994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LAUE Administrator 812-442-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IN 060050461) |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center (Licence: IN 060050461) | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-04-01 |