FCC TERRE HAUTE
NPI 1700203544
Clinic/Center - Health Service in Terre Haute, IN

Active since March 18, 2014CLIA 15D2058181 · Waiver
4200 BUREAU RD N, TERRE HAUTE, IN 47802(812) 244-4400(812) 244-4753 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fcc Terre Haute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FCC TERRE HAUTE (NPI 1700203544) is a healthcare organization registered as a health service in Terre Haute, Indiana and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Andrew Rupska, Health Service Administrator, as its authorized official.

NPPES Registry Identity

NPI1700203544
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFCC TERRE HAUTE
Location Address4200 BUREAU RD NTerre Haute, IN 47802-8128
Mailing Address4200 Bureau Rd NTerre Haute, IN 47802-8128 · (812) 244-4400 · Fax (812) 244-4753
Fax(812) 244-4753
Organization SubpartNo
Authorized OfficialAndrew RupskaHealth Service Administrator · (812) 244-4400
Enumeration DateMarch 18, 2014
NPI 1700203544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4200 BUREAU RD N, Terre Haute, IN 47802

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2058181

Fcc Terre Haute Federal Bur Of Prisons · Terre Haute, IN
Active · expires Apr 30, 2027
CLIA Number15D2058181
Laboratory TypePrison
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorWilliam E. Wilson
Laboratory Phone(812) 244-4581
Laboratory LocationFcc Terre Haute Federal Bur Of Prisons4400 Bureau Rd S, Terre Haute, IN 47802
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4200 BUREAU RD N
TERRE HAUTE, IN 47802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fcc Terre Haute's NPI number?

The NPI number for Fcc Terre Haute is 1700203544. It was assigned to this organization in the NPPES registry on March 18, 2014.

Where is Fcc Terre Haute located?

Fcc Terre Haute is located at 4200 Bureau Rd N, Terre Haute, IN 47802. The listed phone number is (812) 244-4400.

What is Fcc Terre Haute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Fcc Terre Haute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2058181) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fcc Terre Haute was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.