PROCARE HEALTHSPOT LLC NPI 1619427333

NPI Information

NPI: 1619427333
Provider Name: PROCARE HEALTHSPOT, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 15D2166601

Address:
150 N ROSENBERGER AVE
EVANSVILLE, IN
ZIP 47712
Phone: (812) 491-3856
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PROCARE HEALTHSPOT, LLC is a multi-specialty clinic center in Evansville, IN. PROCARE HEALTHSPOT, LLC NPI is 1619427333. The provider is registered as an organization entity type.

The provider's business location address is:

150 N ROSENBERGER AVE
EVANSVILLE, IN
ZIP 47712-503
Phone: (812) 491-3856

The provider's authorized official is Keith Bersch .
The authorized official title is Manager and has the following contact phone number (812) 491-3856.

The CLIA number assigned to this NPI record is 15D2166601 - other - employee health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 4/28/2024

NPI Synchronization or Removal

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