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CAREATC - EVANSVILLE CLINIC NPI 1295289601


NPI Information

NPI: 1295289601
Provider Name: CAREATC - EVANSVILLE CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2091925

Address:
1212 SAINT GEORGE RD
EVANSVILLE, IN
ZIP 47711
Phone: (918) 779-7416
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CAREATC - EVANSVILLE CLINIC is a primary care clinic center in Evansville, IN. CAREATC - EVANSVILLE CLINIC NPI is 1295289601. The provider is registered as an organization entity type.

The provider's business location address is:

1212 SAINT GEORGE RD
EVANSVILLE, IN
ZIP 47711-364
Phone: (918) 779-7416

The provider's authorized official is Keith Gucwa .
The authorized official title is Director Of Purchasing And Faciliti and has the following contact phone number (918) 779-7416.

The CLIA number assigned to this NPI record is 15D2091925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2016 and was last updated on 8/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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