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ST CLARE HEALTH NETWORK NPI 1609940105


NPI Information

NPI: 1609940105
Provider Name: ST CLARE HEALTH NETWORK

Doing Business As: EASTSIDE FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2056 LEBANON RD
CRAWFORDSVILLE, IN
ZIP 47933
Phone: (765) 361-9923
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ST CLARE HEALTH NETWORK is a family medicine in Crawfordsville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST CLARE HEALTH NETWORK NPI is 1609940105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eastside Family Medicine.

The provider's business location address is:

2056 LEBANON RD
CRAWFORDSVILLE, IN
ZIP 47933-143
Phone: (765) 361-9923

The provider's authorized official is Jim Siemers .
The authorized official title is Executive Director and has the following contact phone number (765) 362-2800.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/24/2008.


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
1207Q00000XFamily MedicineYes

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
1150970MEDICARE PININDIANA
2CG2471MEDICARE 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: 11/14/2023

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