NPIMap

Organization Active NPI

FCC Terre Haute

  • Health Service Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1700203544
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FCC TERRE HAUTE
Practice address
4200 Bureau Rd N
Terre Haute, IN 47802-8128
Phone
(812) 244-4400
Fax
(812) 244-4753
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew Rupska
Title
Health Service Administrator
Phone
(812) 244-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

4200 Bureau Rd N
Terre Haute, IN 47802-8128

Mailing address

4200 Bureau Rd N
Terre Haute, IN 47802-8128
Phone (812) 244-4400

National Provider Directory

National Provider Directory
Tax ID family
Fbop Metropolitan Detention Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 Bureau Rd N
Terre Haute, IN 47802
Phone 8122381531 ext. 3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1700203544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BUREAU RD N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028128",
            "telephone_number": "812-244-4400",
            "fax_number": "812-244-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BUREAU RD N",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028128",
            "telephone_number": "812-244-4400",
            "fax_number": "812-244-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCC TERRE HAUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "RUPSKA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "HEALTH SERVICE ADMINISTRATOR",
        "authorized_official_telephone_number": "812-244-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.