Fayette County Physician Orginazation LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAYETTE COUNTY PHYSICIAN ORGINAZATION LLC

Doing business as

Whitewater Valley Urgent Care

Practice address

1475 E State Road 44
Connersville, IN 47331-8292

Phone

(765) 825-8686

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Suresh Patel, MD

Title

Managing Member

Phone

(765) 825-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whitewater Valley Urgent Care Doing business as

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1790765147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310779",
            "telephone_number": "765-827-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-825-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY PHYSICIAN ORGINAZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "765-825-8686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitewater Valley Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fayette BHC LLC
• Fayette BHC LLC
• Fayette Co Physician Organization Dba Family Practice WVMC
• Fayette County Government
• Fayette County Pediatrics LLC
• Fayette County School Corp
• Fayette Family Practice, Inc.
• Fayette Memorial Hospital Assoc (FMH Ambulance)
• Fayette Memorial Hospital Assoc Inc (Connersville Immediate Care)
• Fayette Memorial Hospital Assoc Inc (FMH Durable Medical Equipment)

• Urgent Care Clinic/Center in Connersville, IN
• Providers in Connersville, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.