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PROVIDENCE MEDICAL GROUP LLC
NPI 1891729141
Clinic/Center - Multi-Specialty in Terre Haute, IN

Active since July 11, 2006CLIA Certified · 3 labs
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802(812) 232-8164(812) 234-6391 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Medical Group Llc NPPES

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

PROVIDENCE MEDICAL GROUP LLC (NPI 1891729141) is a healthcare organization registered as a multi-specialty in Terre Haute, Indiana and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists George B Bittar, Owner, as its authorized official.

NPPES Registry Identity

NPI1891729141
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROVIDENCE MEDICAL GROUP LLC
Location Address2723 S 7TH ST, SUITE ATerre Haute, IN 47802-3558
Mailing Address2723 S 7th St, Suite ATerre Haute, IN 47802-3558 · (812) 238-1730 · Fax (818) 242-1565
Phone(812) 232-8164
Fax(812) 234-6391
Organization SubpartNo
Authorized OfficialGeorge B BittarOwner · (812) 232-8164
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1891729141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2723 S 7TH ST, Terre Haute, IN 47802
Open in Google Maps ↗

Other Identifiers 4

Medicaid200261130IN
Medicaid200398780IN
OtherCG4466IN · Railroad Medicare
OtherCH9272IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 15D1106412

Providence Medical Group · Terre Haute, IN
Active · expires Oct 12, 2027
CLIA Number15D1106412
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorHenry J. Davis
Laboratory Phone(812) 238-1730
Laboratory LocationProvidence Medical Group2723 S 7th Street, Ste P, Terre Haute, IN 47802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1046178

Providence Medical Group · Terre Haute, IN
Active · expires Oct 2, 2027
CLIA Number15D1046178
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorGeorge Bittar
Laboratory Phone(812) 299-8280
Laboratory LocationProvidence Medical Group2723 S 7th St Ste A Attn Babette Bolinger, Terre Haute, IN 47802
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D0693264

Providence Medical Group · Terre Haute, IN
Active · expires Dec 27, 2027
CLIA Number15D0693264
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorHarold Loveall
Laboratory Phone(812) 232-8164
Laboratory LocationProvidence Medical Group4001 Wabash Ave, Ste C, Terre Haute, IN 47803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

WHITNEY MARIE HARVEY FNP
Nurse Practitioner (Family)
2723 S 7TH ST
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
AGAM ENTERPRISES
Radiology (Diagnostic Radiology)
2723 S 7TH ST
TERRE HAUTE, IN 47802
Vigo County (812) 237-1625
PROCARE MEDICAL LLC
Hospitalist
2723 S 7TH ST, STE A
TERRE HAUTE, IN 47802
Vigo County (812) 238-1730
NAWAR F MERCHO MD
Internal Medicine (Cardiovascular Disease)
2723 S 7TH ST, SUITE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
DR. HENRY J DAVIS MD
Internal Medicine (Rheumatology)
2723 S 7TH ST, SUITE P
TERRE HAUTE, IN 47802
Vigo County (812) 232-8594
DR. NEIL G KABOUS MD
Internal Medicine (Cardiovascular Disease)
2723 S 7TH ST, SUITE A
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164
DR. SANG Y HUH MD
Internal Medicine (Hematology & Oncology)
2723 S 7TH ST, SUITE O
TERRE HAUTE, IN 47802
Vigo County (812) 232-1418
LEE ANN MURRAY FNP
Nurse Practitioner (Family)
2723 S 7TH ST
TERRE HAUTE, IN 47802
Vigo County (812) 232-8164

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 Providence Medical Group LLC's NPI number?

The NPI number for Providence Medical Group LLC is 1891729141. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Providence Medical Group LLC located?

Providence Medical Group LLC is located at 2723 S 7th St Suite A, Terre Haute, IN 47802. The listed phone number is (812) 232-8164.

What is Providence Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Providence Medical Group LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Providence Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Providence Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Medical Group LLC was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.