IHC WIC PROGRAM AT MARION (NPI# 1073727046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073727046 |
| Entity Type | Organization |
| Organization Name | IHC WIC PROGRAM AT MARION |
| Practice Address |
925 S Nebraska St Marion IN 46953-1874 |
| Mailing Address |
8003 Castleway Drive Indianapolis IN 46250 |
| Practice Telephone | 7656647492 |
| Practice Fax Number | 7656644356 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 3175761339 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYNN H. CLOTHIER (CEO) |
| Authorized Official Telephone | 3175761335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Street Address |
925 S NEBRASKA ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672069 | Jeffrey D Breckenridge | Emergency Medicine | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-03-14 |
| 1376001024 | Kelli Coeline Linsenmayer | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2019-03-12 |
| 1346735370 | Stephen Daniel Conrad | Registered Nurse | 925 S Nebraska St, Marion, IN 46953-1874 | 2018-06-22 |
| 1952890352 | Israel Nieto | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2018-05-02 |
| 1255708988 | Elizabeth Dulmes | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2015-08-28 |
| 1588727895 | Robert Keith Dawson | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-12-18 |
| 1023105707 | Philip R Renfroe | Family Medicine | 925 S Nebraska St, Marion, IN 46953 | 2006-10-06 |
| 1619087624 | Indiana Health Centers, Inc. | Family Medicine | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114448370 | Perry County Health Dept Std | Public Health or Welfare | 1748 S Washington St, Marion, AL 36756-3406 | 2017-06-28 |
| 1073775920 | Pennyrile District Health Department | Public Health or Welfare | 519 1/2 W Gum St, Marion, KY 42064-1581 | 2008-07-01 |
| 1295905511 | State of Alabama | Public Health or Welfare | 1609 Highway 5 S, Marion, AL 36756-3413 | 2008-03-03 |
| 1497937841 | Pennyrile District Health Department | Public Health or Welfare | 519 W Gum St, Marion, KY 42064-1581 | 2007-11-28 |
| 1396927745 | Pennyrile District Health Department | Public Health or Welfare | 120 Autumn Ln, Marion, KY 42064-1877 | 2007-11-28 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1538226014 | Rutherford-polk-mcdowell District Health Department | Public Health or Welfare | 408 Spaulding Rd, Marion, NC 28752-5212 | 2007-01-03 |
| 1376587089 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 201 Francis Marion Lane, Marion, VA 24354 | 2006-06-15 |
| 1952348708 | Marion Adolescent Pregnancy Program Inc | Public Health or Welfare | 498 N Main St, Marion, OH 43302-2361 | 2006-06-01 |
| 1417365164 | Graves County Health Department | Public Health or Welfare | 120 Autumn Ln, Marion, KY 42064-1877 | 2014-07-25 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on IHC WIC PROGRAM AT MARION.
| 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.