Shelburn Medical Clinic
LBN: Terre Haute Pulmonary & Pediatric Clinic, Llc
Shelburn Medical Clinic is an health care organization with primary practice located at 557 W Broadway St , Shelburn IN 47879-1232. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Terre Haute Pulmonary & Pediatric Clinic, Llc can be contacted via phone (812) 397-2440, or through Bhuptani, Trupti A via phone (812) 234-6053.
Contact Information
Primary practice address
557 W Broadway St
Shelburn IN 47879-1232
Phone: (812) 397-2440
Fax: (812) 397-0164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01038772A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01055950A | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01038772A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000843A | Indiana |
Profile Details
| NPI number | 1912011537 |
|---|---|
| LBN Legal business name | Terre Haute Pulmonary & Pediatric Clinic, Llc |
| DBA Doing business as | Shelburn Medical Clinic |
| Authorized official | Bhuptani, Trupti A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Sep 29th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912011537 | NPPES |
| Indiana | MEDICAID | 200391150E |
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