CONNERSVILLE IMMEDIATE CARE – NPI #1225098825
Clinic/Center

CONNERSVILLE IMMEDIATE CARE is an AHC clinic located in CONNERSVILLE, IN. NPPES has assigned the NPI number 1225098825 to CONNERSVILLE IMMEDIATE CARE on March 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONNERSVILLE IMMEDIATE CARE” is a dba name, the actual legal business name for this organization is FAYETTE MEMORIAL HOSPITAL ASSOC INC. 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 CONNERSVILLE IMMEDIATE CARE below.

NPI Profile for
FAYETTE MEMORIAL HOSPITAL ASSOC INC

NPI Number
1225098825
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 INC
Doing Business As (dba): CONNERSVILLE IMMEDIATE CARE
Primary location
3542 N WESTERN AVE
CONNERSVILLE, IN 47331
Phone: (765) 825-5323 Fax: (765) 827-8687
Mailing address
1941 VIRGINIA AVE
CONNERSVILLE, IN 47331
Phone: (765) 827-7762 Fax: (765) 827-7796
Organization Subpart
No
Authorized Official
MARILYN THOMPSON
CONTROLLER
Phone: (765) 827-7709
Updated
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

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.