Huntingburg Medical Center, Inc
Organization Active NPI Family Medicine Physician · Huntingburg, IN
NPI 1811075286 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1811075286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02002504 (IN)
- Legal business name
- HUNTINGBURG MEDICAL CENTER, INC
- Practice address
- 1706 Medical Arts Dr
Suite 3
Huntingburg, IN 47542-9049 - Phone
- (812) 683-4900
- Fax
- (812) 683-3206
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Gwenda L Breckler, D.O.
- Title
- President
- Phone
- (812) 683-4900
National Provider Directory
Locations
1706 Medical Arts Dr
Ste 3
Huntingburg, IN 47542
Phone (812) 683-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 02002504 | IN | Yes |
Addresses
Primary practice location
1706 Medical Arts Dr
Suite 3
Huntingburg, IN 47542-9049
Mailing address
1706 Medical Arts Dr
Suite 3
Huntingburg, IN 47542-9049
Phone (812) 683-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200235580 | Medicaid | IN |
Other providers in Huntingburg, IN
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- Gavin Lee Hopf
- Houchens Express Pharmacy LLC
- Huntinburg Family Dentistry
- Huntingburg Family Dentistry
- Marcia Katterhenry
- Kelly Family Dentistry, PC
- Christian H Kelly
- Joseph Michael Keusch
- Andrea Lynn Klauss
All providers in Huntingburg, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.