UNION HOSPITAL, INC.

Provider Demographics

• NPI: 1013965573
• Name: UNION HOSPITAL, INC.
• Entity Type: Organization
• Organization Name: UNION HOSPITAL, INC.
• Authorized Official - Title/Position: BILLING MANAGER
• Authorized Official - First Name: STEVE
• Authorized Official - Last Name: HOLMAN
• Authorized Official - Phone: 812-238-7783
• Mailing Address - Street 1: PO BOX 2505
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46206-2505
• Mailing Address - Country: US
• Mailing Address - Phone: 812-238-7783
• Mailing Address - Fax: 812-238-4506
• Practice Address - Street 1: 1606 N 7TH ST
• Practice Address - City: TERRE HAUTE
• Practice Address - State: IN
• Practice Address - Zip Code: 47804-2706
• Practice Address - Country: US
• Practice Address - Phone: 812-238-7000
• Practice Address - Fax: 812-238-4506
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-05
• Last Update Date: 2023-02-24

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty
No	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology		Group - Multi-Specialty
No	207LP2900X	Allopathic & Osteopathic Physicians	Anesthesiology	Pain Medicine	Group - Multi-Specialty
No	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology	Group - Multi-Specialty
No	2086S0129X	Allopathic & Osteopathic Physicians	Surgery	Vascular Surgery	Group - Multi-Specialty
No	208G00000X	Allopathic & Osteopathic Physicians	Thoracic Surgery (Cardiothoracic Vascular Surgery)		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	367500000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Anesthetist, Certified Registered		Group - Multi-Specialty
No	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	200074840	Medicaid
IN	CG2923	Other	RR MEDICARE
IN	200074840	Medicaid