ECHO COMMUNITY HEALTH CARE, INC (NPI# 1063805216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063805216 |
Entity Type | Organization |
Organization Name | ECHO COMMUNITY HEALTH CARE, INC |
Other Organization Name | ECHO PEDIATRIC & PRENATAL CLINIC |
Practice Address |
315 Mulberry St Evansville IN 47713-1252 |
Mailing Address |
316 Chandler Ave Evansville IN 47713-1147 |
Practice Telephone | 8124217489 |
Practice Fax Number | 8124360209 |
Mailing Telephone | 8124364501 |
Mailing Fax Number | 8124364510 |
Enumeration Date | 2015-03-12 |
Last Update Date | 2016-08-08 |
Authorized Official Name | SANDEE STRADER-MCMILLEN (CEO) |
Authorized Official Telephone | 8124217489 |
Is Organization Subpart | Y |
Parent Organization Name | ECHO COMMUNITY HEALTH CARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200079040 | 05 |
Other Name | Type Code |
---|---|
ECHO Pediatric & Prenatal Clinic | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ECHO COMMUNITY HEALTH CARE, INC. | 315 Mulberry St, Evansville, IN 47713-1252 |
Street Address |
315 MULBERRY ST |
City | EVANSVILLE |
State | IN |
Zip Code | 47713-1252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
1962037655 | Diane Ice | Social Worker | 315 Mulberry St, Evansville, IN 47713-1252 | 2020-03-03 |
1417413782 | Kelly N Leavitt | Social Worker | 315 Mulberry St, Evansville, IN 47713-1252 | 2019-02-12 |
1841754835 | Jackie Hughes | Social Worker | 315 Mulberry St, Evansville, IN 47713-1252 | 2019-01-24 |
1538633607 | Abigail Anne Dunigan | Social Worker | 315 Mulberry St, Evansville, IN 47713-1252 | 2019-01-11 |
1275044513 | Meredith Ellen Hall | Physician Assistant | 315 Mulberry St, Evansville, IN 47713-1252 | 2017-10-13 |
1740632538 | Stephanie Gardner | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713 | 2016-07-06 |
1114187531 | Rubeena Anjum | Family Medicine | 315 Mulberry St, Evansville, IN 47713-1252 | 2008-06-10 |
1780600353 | Anne E Butsch | Family Medicine | 315 Mulberry St, Evansville, IN 47713-1252 | 2006-07-15 |
1689625071 | Alan Glen Swartz | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713-1252 | 2006-05-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
1417371162 | Susan Stone | Social Worker | 410 Mulberry St, Evansville, IN 47713 | 2014-02-14 |
Find all providers in zip 47713 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700816683 | Echo Community Health Care, Inc. | Clinic/Center | 501 John Street, Suite 12, Evansville, IN 47713-2705 | 2006-07-04 |
1467483255 | Echo Community Health Care, Inc. | Clinic/Center | 25 W Division St, Evansville, IN 47710-1374 | 2006-07-06 |
1912906850 | Echo Community Health Care, Inc. | Clinic/Center | 315 Mulberry St, Evansville, IN 47713-1252 | 2005-07-20 |
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City | EVANSVILLE |
Zip Code | 47713 |
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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.