COMMUNITY HEALTH NETWORK (NPI# 1306147236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306147236 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH NETWORK |
| Other Organization Name | MONROE CO. SCHOOL CORPORATION |
| Practice Address |
524 N Fairview St Bloomington IN 47404-3774 |
| Mailing Address |
524 N. Fairview St Bloomington IN 47404-0000 |
| Practice Telephone | 8123307837 |
| Mailing Telephone | 8123307837 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | JEFFERY KIRKHAM (CFO) |
| Authorized Official Telephone | 3173555822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10-0050681 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ADDRESS | 524 | 01 |
| Other Name | Type Code |
|---|---|
| Monroe Co. School Corporation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679012900 | Community Health Network | Family Medicine | 307 Cottage Ave, Anderson, IN 46012-3404 | 2017-02-20 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| 1457743361 | Community Health Network | Family Medicine | 4500 Dan Patch Cir, Anderson, IN 46013-3161 | 2015-03-02 |
| 1205238771 | Community Health Network | Clinic/Center | Hse Health Care Center - Medcheck Suite, 9669 E 146th St, Nobles Ville, IN 46060 | 2014-09-16 |
| 1265798235 | Community Health Network | Family Medicine | 340 Enterprise Dr, Markesan, WI 53946-8683 | 2012-04-04 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1942866546 | Community Health Network | Family Medicine | 2025 Cherry St, Noblesville, IN 46060-3106 | 2019-05-20 |
| 1578129508 | Community Health Network | Family Medicine | 8890 E 116th St, Fishers, IN 46038-2856 | 2019-05-15 |
| 1144675182 | Community Health Network | Family Medicine | 4500 Dan Patch Cir, Anderson, IN 46013-3165 | 2016-04-27 |
| 1457743809 | Community Health Network | Family Medicine | 1011 Main St, Ste 255, Speedway, IN 46224-6977 | 2015-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH NETWORK FOUNDATION, INC. | 7240 Shadeland Sta Ste 125, Indianapolis, IN 46256-3959 |
| Connecticut Business Registrations | Community Health Network of Connecticut Foundation, Inc. | C/O Shipman & Goodwin LLP, One American Row, Hartford, CT 06103 |
| New York State Corporations | COMMUNITY HEALTH NETWORK OF CONNECTICUT, INC. | 11 Fairfield Boulevard, Wallingford, Ct 06492 |
| System for Award Management (SAM) Entities | COMMUNITY HEALTH NETWORK, INC | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 |
| New York State Corporations | COMMUNITY HEALTH NETWORK, INC. | 1967 Wehrle Drive, Suite 1086, Buffalo, Ny 14221 |
| Street Address |
524 N FAIRVIEW ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633419 | Dana Louise Walden | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2018-09-17 |
| 1427569367 | Wellness for Life | Clinic/Center | 524 N Fairview St, Bloomington, IN 47404-3774 | 2017-10-18 |
| 1639416167 | Community Health Network Inc | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| 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 |
|---|---|---|---|---|
| 1073165650 | Genevieve Elon Monge | Family Medicine | 18651 Valley Blvd, Bloomington, CA 92316-1831 | 2019-07-12 |
| 1982117172 | Andry Medical Services | Family Medicine | 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 | 2017-11-09 |
| 1033459904 | Charles R Farmer | Family Medicine | 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 | 2013-02-28 |
| 1467798504 | James Anthony Ray | Family Medicine | 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 | 2012-12-18 |
| 1902140585 | Fountain Healthcare Limited Liability Company | Family Medicine | 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 | 2012-11-20 |
| 1942501978 | Premier Medical Group, LLC | Family Medicine | 2102 E Washington St, Bloomington, IL 61701-4321 | 2010-11-08 |
| 1356660666 | Glen Edward Tomlinson | Family Medicine | 42 Crista Ann Ct, Bloomington, IL 61704-8699 | 2010-05-26 |
| 1285862664 | Charles W Mcclary | Family Medicine | 1411 S Sare Rd, Bloomington, IN 47401-4431 | 2009-06-24 |
| 1982840005 | Thomas Patterson Cairns | Family Medicine | 10258 Berkshire Rd, Bloomington, MN 55437-2265 | 2008-12-18 |
| 1003061409 | Joie Devivre | Family Medicine | 1535 Piazza Drive, Bloomington, IN 47401 | 2008-11-26 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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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.