ECHO COMMUNITY HEALTH CARE INC. NPI 1467483255

NPI Information

ECHO COMMUNITY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Evansville, IN. ECHO COMMUNITY HEALTH CARE, INC. NPI is 1467483255. The provider is registered as an organization entity type.
The provider Is Doing Business As Division Street Family Clinic.

The provider's business location address is:

25 W DIVISION ST
EVANSVILLE, IN
ZIP 47710-374
Phone: (812) 436-0205
Fax: (812) 436-0207

The provider's authorized official is Sandee Strader-mcmillen .
The authorized official title is Ceo and has the following contact phone number (812) 421-7489.

The CLIA number assigned to this NPI record is 15D0682393 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/15/2015.

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:

Other Identifiers

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

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