Prairie Creek Radiology,Inc

LBN: Prairie Creek Radiology,Inc
Prairie Creek Radiology,Inc is an health care organization with primary practice located at 3901 S 7Th St , Terre Haute IN 47802-5709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Prairie Creek Radiology,Inc can be contacted via phone (812) 234-8261, or through Mercho, Farouk E via phone (812) 234-4642.

Contact Information

Primary practice address
3901 S 7Th St Terre Haute IN 47802-5709
Phone: (812) 234-8261
Fax: (812) 234-8262
Website:
Map and Directions
Authorized official contact:
Name: Mercho, Farouk E Doctor of Medicine (MD)
Phone: (812) 234-4642

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01031856A Indiana

Profile Details

NPI number 1265572838
LBN Legal business name Prairie Creek Radiology,Inc
DBA Doing business as
Authorized official Mercho, Farouk E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 9th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265572838 NPPES
Indiana Other 000000242179 BLUE CROSS/BLUE SHIELD

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