BOARD OF TRUSTEES OF WELBORN CLINIC (NPI# 1174662647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174662647 |
Entity Type | Organization |
Organization Name | BOARD OF TRUSTEES OF WELBORN CLINIC |
Other Organization Name | WELBORN CLINIC DME WESTSIDE |
Practice Address |
545 S Boehne Camp Rd Evansville IN 47712-3703 |
Practice Telephone | 8124291818 |
Mailing Telephone | 8124291818 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-03-03 |
Authorized Official Name | DR. DAVID CHRISTESON (CEO) |
Authorized Official Telephone | 8124266626 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Welborn Clinic DME Westside | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003954884 | Board of Trustees of Welborn Clinic | Radiology | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-02 |
1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
1801935309 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4199 Gateway Blvd, Suite 3000, Newburgh, IN 47630-8975 | 2007-02-05 |
1437298916 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 1137 W Mill Rd, Evansville, IN 47710-3807 | 2007-02-05 |
1528107018 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4411 Washington Ave, Evansville, IN 47714-0890 | 2007-02-05 |
1194864678 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-05 |
1417096991 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-02-05 |
1053450536 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3434 W State Road 66, Rockport, IN 47635-9259 | 2007-02-05 |
1184763674 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3700 Washington Ave, Suite 2100b, Evansville, IN 47714-0541 | 2007-02-05 |
1568500353 | Board of Trustees of Welborn Clinic | Radiology | 4199 Gateway Blvd, Suite 3000, Newburgh, IN 47630-8940 | 2007-02-02 |
Street Address |
545 S BOEHNE CAMP RD |
City | EVANSVILLE |
State | IN |
Zip Code | 47712-3703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467403584 | Tracy Joan Kinner | Registered Nurse | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2006-05-13 |
1659833093 | Jessica M Navarro | Nurse Practitioner | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2019-04-04 |
1407205958 | Anna Fehrenbacher | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2016-06-06 |
1639550858 | Zersha Fischer | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712 | 2015-06-12 |
1013321561 | David A Craig | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712 | 2014-06-12 |
1477815819 | Christi L Pagett | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2012-06-12 |
1538455027 | Courtney Bender | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2011-06-22 |
1871749184 | Deaconess Clinic Inc. | Allergy & Immunology | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2008-08-18 |
1548308505 | Board of Trustees of Welborn Clinic | Radiology | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2007-02-02 |
1679641161 | Angela Faye Deweese | Family Medicine | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2006-12-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
Find all providers in zip 47712 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
1679006050 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 6300 Maxwell Ave Ste A, Evansville, IN 47715-2386 | 2017-04-04 |
1922553627 | St. Mary's Health, Inc. | Durable Medical Equipment & Medical Supplies | 100 S Rosenberger Ave, Evansville, IN 47712-6591 | 2016-08-23 |
1730552282 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2500 N 1st Ave, Evansville, IN 47710-2950 | 2015-11-05 |
1801211602 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 4482 N 1st Ave, Evansville, IN 47710-3622 | 2014-03-03 |
1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
1558689000 | Advanced Device Solutions, LLC | Durable Medical Equipment & Medical Supplies | 4715 Washington Ave, Evansville, IN 47714-0898 | 2010-05-07 |
1023331568 | Hls Home Accessibility LLC | Durable Medical Equipment & Medical Supplies | 420 Nw 5th St, Suite 1a, Evansville, IN 47708-1314 | 2010-03-11 |
1730321597 | Jp Dme, Inc. | Durable Medical Equipment & Medical Supplies | 4630 Bayard Park Dr, Evansville, IN 47714-0600 | 2009-03-25 |
1114176393 | George Henry Madison Jr. | Durable Medical Equipment & Medical Supplies | 1033 E Walnut St Ste B, Evansville, IN 47714-1039 | 2008-09-12 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47712 |
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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.