BOONE COUNTY COMMUNITY HEALTH CLINIC INC NPI 1962681734

NPI Information

NPI: 1962681734
Provider Name: BOONE COUNTY COMMUNITY HEALTH CLINIC, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
416 W CAMP ST
LEBANON, IN
ZIP 46052
Phone: (765) 483-4469
Get Directions

BOONE COUNTY COMMUNITY HEALTH CLINIC, INC is a community health clinic center in Lebanon, IN. BOONE COUNTY COMMUNITY HEALTH CLINIC, INC NPI is 1962681734. The provider is registered as an organization entity type.

The provider's business location address is:

416 W CAMP ST
LEBANON, IN
ZIP 46052-799
Phone: (765) 483-4469

The provider's authorized official is Bambi Mcquade-jones .
The authorized official title is Executive Director and has the following contact phone number (765) 483-4469.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 2/4/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	71000784B	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100063430	MEDICAID	INDIANA
2	200432840	MEDICAID	INDIANA
3	200401120A	MEDICAID	INDIANA
4	268870M	MEDICARE UPIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »