INTERLOCAL COMMUNITY ACTION PROGRAM


Address: 1912 Bundy Ave, New Castle, IN 47362-2918
Phone: 7655211401

INTERLOCAL COMMUNITY ACTION PROGRAM (NPI# 1538285838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538285838
Entity Type Organization
Organization Name INTERLOCAL COMMUNITY ACTION PROGRAM
Other Organization Name MOTHER CHILD CENTER
Practice Address 1912 Bundy Ave
New Castle
IN 47362-2918
Practice Telephone 7655211401
Enumeration Date 2007-03-21
Last Update Date 2008-07-29
Authorized Official Name MR. KEVIN POLIVICK (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7655294403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100134600 05

Other Provider/Organization Names

Other Name Type Code
Mother Child Center Other Name - Individual/Organization

Office Location

Street Address 1912 BUNDY AVE
City NEW CASTLE
State IN
Zip Code 47362-2918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518936319 Peter William Schram Chiropractor 1912 Bundy Ave, Suite B, New Castle, IN 47362-2918 2006-03-15
1275141087 Whitney Renfroe Occupational Therapist 1912 Bundy Ave, New Castle, IN 47362-2917 2020-07-17
1639357460 Nancy Lewis Licensed Practical Nurse 1912 Bundy Ave, New Castle, IN 47362-2918 2008-02-04
1598969206 Young Chiropractic, LLC Chiropractor 1912 Bundy Ave, Suite B, New Castle, IN 47362-2918 2007-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851898183 Anthony S Catron Registered Nurse 1229 Saint James Dr, New Castle, IN 47362 2018-04-12
1336499599 Gregg Scott Shepherd Long Term Care Hospital 1075 W Cr 300 North, New Castle, IN 47362 2012-09-14
1457600876 Linda I Sweigart Registered Nurse 4235 S Main St, New Castle, IN 47362 2012-08-30
1063797355 Occazio, Inc Counselor 339 South Highway 3, New Castle, IN 47362 2011-10-18
1790099166 Bethany Cares Inc. Home Health 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 2010-07-28
1164733945 Jamie Sue Cate Hearing Instrument Specialist 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 2010-06-28
1649400987 Amy Wright Dietitian, Registered 615 State Road 38 W, New Castle, IN 47362 2009-07-21
1447449285 Amber J Harless Marriage & Family Therapist 3337 S State Road 3, New Castle, IN 47362 2007-10-17
1710172309 Assisted Living Concepts Inc Assisted Living Facility 2244 Q Avenue, New Castle, IN 47362 2007-09-07
1760688451 Lorenzo Eli Legal Medicine 1000 Van Nuys Road, New Castle, IN 47362 2007-06-21
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215198080 Emma Caroline Rossi Obstetrics & Gynecology 1030 W. Michigan St., Indianapolis, IN 46202 2008-06-24
1639343619 Nabila Rasool Obstetrics & Gynecology 8111 S Emerson Ave # 204, Indianapolis, IN 46237 2008-04-21
1386634236 Paul C Liu Obstetrics & Gynecology 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 2005-10-24
1437146081 John P. Geisler Obstetrics & Gynecology 2510 E Dupont Rd Ste 236, Fort Wayne, IN 46825-1603 2005-09-29
1154317675 James Robert Dunlop Obstetrics & Gynecology 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 2005-09-20
1437153913 Michael W Method Obstetrics & Gynecology 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 2005-06-13
1821482431 Beacon Medical Group, Inc. Obstetrics & Gynecology 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 2015-03-20
1295141380 Gynecologic Oncology of Northeast Indiana, LLC Obstetrics & Gynecology 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 2014-07-09
1053677591 Sarah Dilley Obstetrics & Gynecology 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250 2012-04-10
1215203559 Megan Elyse Buechel Obstetrics & Gynecology 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 2012-03-30
Find all providers with the same taxonomy

Competitor

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City NEW CASTLE
Zip Code 47362

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Dataset Information

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.

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