HENDRICKS COUNTY WELLNESS CLINIC (NPI# 1104195098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104195098 |
| Entity Type | Organization |
| Organization Name | HENDRICKS COUNTY WELLNESS CLINIC |
| Practice Address |
998 E Main St Suite 104 Danville IN 46122-1971 |
| Mailing Address |
8244 E Us Highway 36 Suite 1100 Avon IN 46123-9575 |
| Practice Telephone | 3177182950 |
| Practice Fax Number | 3177182955 |
| Mailing Telephone | 3172727500 |
| Mailing Fax Number | 3172727515 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | MARIJANE SMALLWOOD (DIRECTOR IMMEDIATE CARE) |
| Authorized Official Telephone | 3172723688 |
| Authorized Official Credential | RN,MSN,NE-BC |
| Is Organization Subpart | Y |
| Parent Organization Name | HENDRICKS COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Street Address |
998 E MAIN ST SUITE 104 |
| City | DANVILLE |
| State | IN |
| Zip Code | 46122-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407875644 | Dialysis Clinic Inc. | Clinic/Center | 998 E Main St, Suite 206, Danville, IN 46122-1971 | 2006-07-19 |
| 1730615949 | Hendricks Community Hospital | Clinic/Center | 998 E Main St, Suite 104, Danville, IN 46122-1971 | 2017-05-08 |
| 1316279755 | Hendricks Community Hospital | Clinic/Center | 998 E Main St, Ste. 104, Danville, IN 46122-1971 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
| 1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
| 1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
| Find all providers in zip 46122 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615949 | Hendricks Community Hospital | Clinic/Center | 998 E Main St, Suite 104, Danville, IN 46122-1971 | 2017-05-08 |
| 1316279755 | Hendricks Community Hospital | Clinic/Center | 998 E Main St, Ste. 104, Danville, IN 46122-1971 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714500 | Procare Healthspot, LLC | Clinic/Center | 4949 Healthy Way, Evansville, IN 47715-1180 | 2018-09-21 |
| 1184105496 | Hendricks Community Hospital | Clinic/Center | 11 Motif Blvd, Brownsburg, IN 46112-1017 | 2018-08-24 |
| 1114405156 | Hendricks Community Hospital | Clinic/Center | 1100 Southfield Dr Ste 1312, Plainfield, IN 46168-4499 | 2018-08-01 |
| 1508198409 | Hendricks Community Hospital | Clinic/Center | 1411 S Green St Ste 220, Brownsburg, IN 46112-2048 | 2010-02-03 |
| 1528235140 | Elkhart General Hospital Inc | Clinic/Center | 1028 E Waterford St, Wakarusa, IN 46573-9305 | 2008-05-13 |
| 1528666922 | Careconnectmd Medical Group Indiana PC | Clinic/Center | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-16 |
| 1346881612 | Procare Healthspot, LLC | Clinic/Center | 1016 E Columbia St, Evansville, IN 47711-5270 | 2019-10-08 |
| 1639653991 | Procare Healthspot, LLC | Clinic/Center | 8788 Ruffian Ln, Newburgh, IN 47630-3405 | 2018-09-21 |
| 1245719020 | Procare Healthspot, LLC | Clinic/Center | 1 N Main St, Evansville, IN 47711-5446 | 2018-08-13 |
| 1821576737 | Hendricks Community Hospital | Clinic/Center | 3720 Hornaday Rd, Brownsburg, IN 46112-1958 | 2018-08-02 |
| Find all providers with the same taxonomy | ||||
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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.