Provider Demographics
NPI:1902213671
Name:SPAHAUTE COMPANY
Entity type:Organization
Organization Name:SPAHAUTE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:812-242-7000
Mailing Address - Street 1:680 E SPRINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-6804
Mailing Address - Country:US
Mailing Address - Phone:812-242-7000
Mailing Address - Fax:
Practice Address - Street 1:680 E SPRINGHILL DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-6804
Practice Address - Country:US
Practice Address - Phone:812-242-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN261QP3300X, 261QR0400X, 261QR0404X, 261QR1100X, 261QX0203X, 261Q00000X, 261QC1500X, 261QC1800X, 261QE0800X, 261QH0700X, 261QM0801X, 261QM0850X, 261QM0855X, 261QM1300X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty