INDIANA HEALTH CENTERS, INC (NPI# 1124434469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124434469 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH CENTERS, INC |
| Other Organization Name | CHCJC ANNEX |
| Practice Address |
120 Saint Louis Ave Seymour IN 47274-2304 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 8124051857 |
| Practice Fax Number | 8443971315 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 3175761339 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | MR. TRACY J NAGEL (CFO) |
| Authorized Official Telephone | 3175761335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100071250 | 05 |
| Other Name | Type Code |
|---|---|
| CHCJC ANNEX | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862829 | Indiana Health Centers, Inc | Family Medicine | 421 12th Street, Logansport, IN 46947-3539 | 2017-03-15 |
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1649559196 | Indiana Health Centers, Inc | Family Medicine | 121 Locust Ln, Nashville, IN 47448-7021 | 2011-08-15 |
| 1376143198 | Indiana Health Centers, Inc | Family Medicine | 401 E 8th St Ste A, Rochester, IN 46975-1444 | 2020-10-30 |
| 1609315829 | Indiana Health Centers, Inc | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-02-21 |
| 1780065672 | Indiana Health Centers, Inc | Family Medicine | 1010 N Bendix Dr, South Bend, IN 46628-1925 | 2015-06-16 |
| 1215343389 | Indiana Health Centers, Inc | Family Medicine | 206 W 8th St, Marion, IN 46953-1921 | 2014-07-09 |
| 1912327693 | Indiana Health Centers, Inc | Family Medicine | 415 E Madison St, South Bend, IN 46617-2322 | 2014-04-22 |
| 1336373190 | Indiana Health Centers, Inc | Clinic/Center | 661 E Main St, Peru, IN 46970-2662 | 2009-05-08 |
| 1598776742 | Indiana Health Centers, Inc | Dentist | 415 E Madison St, South Bend, IN 46617-2322 | 2006-08-11 |
| Street Address |
120 SAINT LOUIS AVE |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414710 | Douglas A Towriss | Internal Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2005-08-19 |
| 1114484474 | Heather Ann Brott | Nurse Practitioner | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2019-02-22 |
| 1417262312 | Amanda Marie Dick LLC | Clinic/Center | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2010-08-16 |
| 1699869727 | Legacy Primary Care Physicians, PC | Internal Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801391453 | Ut Urgent Care Centers LLC | Family Medicine | 11606 Chapman Hwy Ste 4, Seymour, TN 37865-5270 | 2018-03-27 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1740431873 | Urgent Care of Seymour | Family Medicine | 1130 Medical Pl, Seymour, IN 47274-2640 | 2008-10-07 |
| 1245377076 | Ronald A. Buening | Family Medicine | 418 West Street, Seymour, MO 65746 | 2007-01-31 |
| 1780786830 | Robert S Moore Jr. | Family Medicine | 11657 Chapman Hwy, Seymour, TN 37865-5047 | 2006-09-01 |
| 1154340727 | Steven D Turzinski | Family Medicine | 958 Foote St, Seymour, WI 54165-1044 | 2006-07-18 |
| 1053348581 | Dogwood Family Practice Inc | Family Medicine | 10622 Chapman Hwy, Seymour, TN 37865-4703 | 2006-06-28 |
| 1356387641 | John H Rose | Family Medicine | 201 Stadium Drive, Seymour, TX 76380 | 2006-06-22 |
| 1053357608 | David F Hassell | Family Medicine | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2006-06-21 |
| 1467401950 | Charles W Calhoun | Family Medicine | 502 West Second St, Seymour, IN 47274 | 2006-05-10 |
| Find all providers in SEYMOUR | ||||
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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.