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ECHO COMMUNITY HEALTH CARE INC. NPI 1700816683


NPI Information

NPI: 1700816683
Provider Name: ECHO COMMUNITY HEALTH CARE, INC.

Doing Business As: ECHO WOODSON JOHN STREET HEALTH CARE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
501 JOHN STREET
SUITE 12
EVANSVILLE, IN
ZIP 47713
Phone: (812) 436-0224
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ECHO COMMUNITY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Evansville, IN. ECHO COMMUNITY HEALTH CARE, INC. NPI is 1700816683. The provider is registered as an organization entity type.
The provider Is Doing Business As Echo Woodson John Street Health Care Clinic.

The provider's business location address is:

501 JOHN STREET
SUITE 12
EVANSVILLE, IN
ZIP 47713-705
Phone: (812) 436-0224
Fax: (812) 436-0230

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

The enumeration date for this NPI number is 7/4/2006 and was last updated on 3/18/2014.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)261QF0400XINDIANAYes

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
1637650MEDICARE PININDIANA
2151820MEDICARE OSCAR/CERTIFICATIONINDIANA
3200079040CMEDICAIDINDIANA

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

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