INDIANA HEALTH CENTERS, INC. (NPI# 1134227689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134227689 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH CENTERS, INC. |
| Other Organization Name | COMMUNITY HEALTH CENTER OF JACKSON COUNTY |
| Practice Address |
113 N Chestnut St Seymour IN 47274-2176 |
| Practice Telephone | 8125248388 |
| Practice Fax Number | 8125248330 |
| Mailing Telephone | 8125248388 |
| Mailing Fax Number | 8125248330 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | DR. TERRANCE J. DRAKE (CHIEF MEDICAL OFFICER (CMO)) |
| Authorized Official Telephone | 3175761335 |
| Authorized Official Credential | M.D., F.A.A.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100071250 I | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Center of Jackson County | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750595765 | Indiana Health Centers, Inc. | Public Health or Welfare | Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 | 2007-05-09 |
| 1114395647 | Indiana Health Centers, Inc. | Clinic/Center | 3118 S Lafountain St, Kokomo, IN 46902-3710 | 2015-09-15 |
| 1174626014 | Indiana Health Centers, Inc. | Dentist | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-06 |
| 1306957311 | Indiana Health Centers, Inc. | Family Medicine | 701 S Main St, South Bend, IN 46601-3000 | 2006-08-31 |
| 1619087624 | Indiana Health Centers, Inc. | Family Medicine | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-08-30 |
| 1811007800 | Indiana Health Centers, Inc. | Dentist | 3118 S Lafountain St, Kokomo, IN 46902-3710 | 2006-08-30 |
| 1669582664 | Indiana Health Centers, Inc. | Family Medicine | 1700 Dividend Dr, Logansport, IN 46947-1572 | 2006-08-30 |
| Street Address |
113 N CHESTNUT ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629576004 | Debra L Harmon | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2018-01-31 |
| 1902192198 | Hannah Cher Jamlig Samonte | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2011-06-26 |
| 1053623587 | Julie Elizabeth Kern-anderson | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2010-07-13 |
| 1508094665 | Ma Rosario S Dejesus | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2009-06-29 |
| 1992978860 | Helen Bishara | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2008-04-10 |
| 1164691135 | Lisa Hoffhaus | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2008-02-25 |
| 1639386261 | Dian S Wright | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2007-05-16 |
| 1972675270 | Community Helath Center of Jackson County | Clinic/Center | 113 N Chestnut St, Seymour, IN 47274-2176 | 2006-11-14 |
| 1295846798 | Debra Schroer | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2006-08-31 |
| 1588655294 | Jane A. Pardieck | Pediatrics | 113 N Chestnut St, Seymour, IN 47274-2176 | 2005-11-02 |
| Find all providers in the same location | ||||
| 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 | ||||
Please comment or provide details below to improve the information on INDIANA HEALTH CENTERS, INC..
| 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.