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BOARD OF TRUSTEES OF WELBORN CLINIC NPI 1588672992


NPI Information

NPI: 1588672992
Provider Name: BOARD OF TRUSTEES OF WELBORN CLINIC

Doing Business As: WELBORN CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
421 CHESTNUT ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 426-6626
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BOARD OF TRUSTEES OF WELBORN CLINIC is a clinic center in Evansville, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BOARD OF TRUSTEES OF WELBORN CLINIC NPI is 1588672992. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Welborn Clinic.

The provider's business location address is:

421 CHESTNUT ST
EVANSVILLE, IN
ZIP 47713-227
Phone: (812) 426-6626

The provider's authorized official is David D Christeson .
The authorized official title is Ceo and has the following contact phone number (812) 426-6626.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 2/5/2009.


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
1207R00000XInternal MedicineNo
2208800000XUrologyNo
3363LA2100XNurse PractitionerAcute CareNo
4363L00000XNurse PractitionerNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LF0000XNurse PractitionerFamilyNo
7207Q00000XFamily MedicineNo
8207W00000XOphthalmologyNo
9208000000XPediatricsNo
10213E00000XPodiatristNo
11152W00000XOptometristNo
12207K00000XAllergy & ImmunologyNo
13207X00000XOrthopaedic SurgeryNo
14103T00000XPsychologistNo
15261Q00000XClinic/CenterYes

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
1100240870MEDICAIDINDIANA
2750580MEDICARE PININDIANA
3849790MEDICARE PININDIANA
4849880MEDICARE PININDIANA
5849900MEDICARE PININDIANA
6533890MEDICARE PININDIANA
7849820MEDICARE PININDIANA
8849870MEDICARE PININDIANA
9281690MEDICARE PININDIANA
10839980MEDICARE PININDIANA
11849850MEDICARE PININDIANA
12881810MEDICARE PININDIANA
13533180MEDICARE PININDIANA
14533200MEDICARE PININDIANA
15533600MEDICARE PININDIANA
16849890MEDICARE PININDIANA
17849840MEDICARE PININDIANA
18849860MEDICARE PININDIANA
19881830MEDICARE PININDIANA
20839900MEDICARE PININDIANA
21849800MEDICARE PININDIANA
22839910MEDICARE PININDIANA
23839920MEDICARE PININDIANA
24849810MEDICARE PININDIANA
25849830MEDICARE 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.