UNION COUNTY IMMEDIATE CARE – NPI #1225007982
Clinic/Center

UNION COUNTY IMMEDIATE CARE is an AHC clinic located in LIBERTY, IN. NPPES has assigned the NPI number 1225007982 to UNION COUNTY IMMEDIATE CARE on March 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNION COUNTY IMMEDIATE CARE” is a dba name, the actual legal business name for this organization is FAYETTE MEMORIAL HOSPITAL ASSOC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNION COUNTY IMMEDIATE CARE below.

NPI Profile for
FAYETTE MEMORIAL HOSPITAL ASSOC

NPI Number
1225007982
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAYETTE MEMORIAL HOSPITAL ASSOC
Doing Business As (dba): UNION COUNTY IMMEDIATE CARE
Primary location
950 MARKET ST
LIBERTY, IN 47353
Phone: (765) 458-5191 Fax:
Mailing address
1941 VIRGINIA AVE
CONNERSVILLE, IN 47331
Phone: (765) 827-7762 Fax: (765) 827-7796
Organization Subpart
No
Authorized Official
MARILYN THOMPSON
CONTROLLER AVP
Phone: (765) 827-7709
Updated
Identifiers

Identifiers for UNION COUNTY IMMEDIATE CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2320358
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
IN OS0050591

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.