Basic Information
| Provider Information | |||||||||
| NPI: | 1184353989 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITAL & MEDICAL FOUNDATION OF PARIS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 721 E COURT ST | ||||||||
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| City: | PARIS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 619442460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2174654141 | ||||||||
| FaxNumber: | 2174655615 | ||||||||
| Practice Location | |||||||||
| Address1: | 1378 S STATE ROAD 46 | ||||||||
| Address2: | |||||||||
| City: | TERRE HAUTE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 478039787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8128773310 | ||||||||
| FaxNumber: | 8128773005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2022 | ||||||||
| LastUpdateDate: | 06/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | ADAMS | ||||||||
| AuthorizedOfficialFirstName: | MARTIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OF FINANCE AND CFO | ||||||||
| AuthorizedOfficialTelephone: | 2174664246 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HOSPITAL & MEDICAL FOUNDATION OF PARIS INC | ||||||||
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| NPICertificationDate: | 05/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TB0200X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | 207LP2900X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207X00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 261QP3300X | N | Ambulatory Health Care Facilities | Clinic/Center | Pain | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.