MADISON COUNTY COMMUNITY HEALTH CENTER (NPI# 1013363308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013363308 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY COMMUNITY HEALTH CENTER |
| Practice Address |
1547 Ohio Ave Anderson IN 46016-1917 |
| Practice Telephone | 7656417499 |
| Practice Fax Number | 7653564647 |
| Mailing Telephone | 7656417499 |
| Mailing Fax Number | 7653564647 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | ANTHONY MALONE (CEO) |
| Authorized Official Telephone | 7656417499 |
| Is Organization Subpart | Y |
| Parent Organization Name | MADISON COUNTY COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200271310A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MADISON COUNTY COMMUNITY HEALTH CENTER, INCORPORATED | 1547 Ohio Ave., Anderson, IN 46016 |
| Street Address |
1547 OHIO AVE |
| City | ANDERSON |
| State | IN |
| Zip Code | 46016-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648119 | Lina L Burkhart | Psychologist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2005-09-08 |
| 1528673605 | Vivian Avila Villarreal | Dental Hygienist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2020-09-15 |
| 1336754415 | Leslie Renee Pryor | Dental Hygienist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2020-09-15 |
| 1629626353 | Cathy A Broadnax | Marriage & Family Therapist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2019-08-27 |
| 1982167706 | Cynthia Rose Branson | Nurse Practitioner | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2019-04-09 |
| 1841756749 | Meridian Health Services Corp | Clinic/Center | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2019-02-15 |
| 1780139733 | Olivia Isaacs | Counselor | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2016-08-19 |
| 1194278507 | Ramiz Musa Saeed Mohammed | Pediatrics | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2016-08-02 |
| 1174972285 | Ann Reeder Wright | Counselor | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2016-06-09 |
| 1164871414 | Sherry Ruthig | Nurse Practitioner | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1740681469 | Melissa Dotson | Counselor | 2003 W 12th St, Anderson, IN 46016 | 2014-09-12 |
| 1811164239 | Vicky Lea Lawson | Technician/Technologist | 1503 Rev Jt Menifee Street, Anderson, IN 46016 | 2008-05-14 |
| 1023130812 | Robert L Loudermilk | Dentist | 226 West Historic Eighth Street, Anderson, IN 46016 | 2007-04-04 |
| 1215089297 | Chiropractic Works of Indiana Inc. | Chiropractor | 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 | 2007-01-18 |
| 1790851509 | Robert W Anderson | Internal Medicine | 2101 Jackson Street, Suite 111, Anderson, IN 46016 | 2006-11-27 |
| 1770668030 | Madison County Community Health Centers Inc | Family Medicine | 1547 Ohio Avenue, Anderson, IN 46016 | 2006-10-26 |
| 1437178035 | Teri L Schulz | Pediatrics | 2020 Meridian St Ste 320, Anderson, IN 46016 | 2006-07-18 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1215905773 | Hazim Rimawi | Internal Medicine | 2020 Meridian St Ste 110, Anderson, IN 46016 | 2006-03-10 |
| Find all providers in zip 46016 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954884 | Board of Trustees of Welborn Clinic | Radiology | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-02 |
| 1134178148 | Southlake Mri & Diagnostic Center LLC | Radiology | 108 E 90th Dr, Merrillville, IN 46410-7160 | 2006-05-08 |
| 1043269012 | Valparaiso Radiology Group, LLC | Radiology | 2411 Laporte Ave, Valparaiso, IN 46383-6914 | 2006-05-08 |
| 1801881255 | Howard Elvindo Wiarda | Radiology | 621 Memorial Dr Ste 312, South Bend, IN 46601 | 2005-09-13 |
| 1578557815 | Radiology, Inc | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2005-09-01 |
| 1205190147 | Jonathan C Lee | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2012-06-26 |
| 1740506229 | Sridevi Kanuri | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2010-04-09 |
| 1417155169 | April L Cox | Radiology | 520 S 7th St, Vincennes, IN 47591-1038 | 2007-07-04 |
| 1164639985 | Durga K Pai | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-05-17 |
| 1376758524 | Jeffrey Alan Dedelow | Radiology | 429 S Landmark Ave, Bloomington, IN 47403-5003 | 2007-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.