TERRE HAUTE REGIONAL HOSPITAL, L.P.

Provider Demographics

• NPI: 1073550133
• Name: TERRE HAUTE REGIONAL HOSPITAL, L.P.
• Entity Type: Organization
• Organization Name: TERRE HAUTE REGIONAL HOSPITAL, L.P.
• Other - Org Name: TERRE HAUTE REGIONAL HOSPITAL
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: JEFF
• Authorized Official - Middle Name: J
• Authorized Official - Last Name: CHILSON
• Authorized Official - Phone: 812-237-1103
• Mailing Address - Street 1: 3901 S 7TH ST
• Mailing Address - City: TERRE HAUTE
• Mailing Address - State: IN
• Mailing Address - Zip Code: 47802-5709
• Mailing Address - Country: US
• Mailing Address - Phone: 812-232-0021
• Mailing Address - Fax: 812-237-9514
• Practice Address - Street 1: 3901 S 7TH ST
• Practice Address - City: TERRE HAUTE
• Practice Address - State: IN
• Practice Address - Zip Code: 47802-5709
• Practice Address - Country: US
• Practice Address - Phone: 812-232-0021
• Practice Address - Fax: 812-237-9514
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-31
• Last Update Date: 2021-10-19

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	000000097899	Other	BLUE CROSS
MO	018141408	Medicaid
LA	1708267	Medicaid
AZ	448490	Medicaid
MI	30-4804342	Medicaid
NJ	8820708	Medicaid
AL	TER0046N	Medicaid
GA	000976885Y	Medicaid
FL	906720500	Medicaid
ME	999010846	Medicaid
IA	0570572	Medicaid
NV	100507314	Medicaid
CA	XHSP33021	Medicaid
PA	0011432500001	Medicaid
KY	01341031	Medicaid
IN	100270200A	Medicaid
SC	10645A	Medicaid
	50000834	Other	PASSPORT HEALTH KY - MCO
NM	91021332	Medicaid
TN	000000097899	Other	TN CARE SELECT
TX	108769402	Medicaid
MN	500323700	Medicaid
MD	403657300	Medicaid
WI	80518400	Medicaid
NY	01907120	Medicaid
OH	7643465	Medicaid
NM	91021332	Medicaid
AL	TER0046N	Medicaid
AL	TER0046N	Medicaid