BOARD OF TRUSTEES OF WELBORN CLINIC (NPI# 1417096991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417096991 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF WELBORN CLINIC |
| Other Organization Name | WELBORN CLINIC DME DOWNTOWN |
| Practice Address |
421 Chestnut St Evansville IN 47713-1227 |
| Practice Telephone | 8124269400 |
| Mailing Telephone | 8124269400 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | DR. DAVID D 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 Downtown | 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 |
| 1174662647 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 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 |
| 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 |
421 CHESTNUT ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425591 | Mary M Tadros | Internal Medicine | 421 Chestnut St, Evansville, IN 47713-1227 | 2005-05-31 |
| 1346850294 | Loren Garza | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-05 |
| 1770193864 | Sally Russell | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-04 |
| 1275189037 | Alicia Nelson | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-08-16 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1902382757 | Mary Ellen Guthrie | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-07-16 |
| 1790273241 | Courtney J'neil May | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-04-30 |
| 1164922118 | Kitty Williams | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-16 |
| 1245730654 | Deaconess Hospital, Inc | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-13 |
| 1679072011 | Jane L Hackert | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| 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 | 47713 |
Please comment or provide details below to improve the information on BOARD OF TRUSTEES OF WELBORN CLINIC.
| 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.