Organization · Type 2 NPI

Providence Medical Group LLC

Multi-Specialty Clinic/Center · Terre Haute, IN

NPI number 1891729141 Active

About NPI 1891729141

Providence Medical Group LLC's National Provider Identifier is 1891729141, issued on Jul 11, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Terre Haute, IN. The record was last updated on Sep 29, 2026.