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OBASEKI INDIANA FAMILY HEALTH CLINIC PROF. CORP. NPI 1346588134


NPI Information

NPI: 1346588134
Provider Name: OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP.
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
645 CANAL ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 491-8765
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OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP. is a family health clinical nurse specialist in Evansville, IN. OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP. NPI is 1346588134. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

645 CANAL ST
EVANSVILLE, IN
ZIP 47713-441
Phone: (812) 491-8765
Fax: (812) 491-8766

The provider's authorized official is Art O Obaseki .
The authorized official title is President and has the following contact phone number (812) 491-8765.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.


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
1208100000XPhysical Medicine & Rehabilitation01039780AINDIANANo
2364SF0001XClinical Nurse SpecialistFamily Health71000903AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200512070MEDICAIDINDIANA
2000000354966OTHERANTHEM
3256580MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.