HENDRICKS COUNTY WELLNESS CLINIC NPI 1104195098

NPI Information

NPI: 1104195098
Provider Name: HENDRICKS COUNTY WELLNESS CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 15D2003224
Address: 1555 E MAIN ST
DANVILLE, IN
ZIP 46122
Phone: (317) 718-2950

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NPI Details

HENDRICKS COUNTY WELLNESS CLINIC is a general practice in Danville, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HENDRICKS COUNTY WELLNESS CLINIC NPI is 1104195098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1555 E MAIN ST
DANVILLE, IN
ZIP 46122-934
Phone: (317) 718-2950
Fax: (317) 718-2955

The provider's authorized official is Heather Rutherford .
The authorized official title is Credentialing Coordinator and has the following contact phone number (317) 837-5566.

The CLIA number assigned to this NPI record is 15D2003224 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2011 and was last updated on 5/22/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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: 11/21/2025

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