INDIANA HEALTH CENTERS, INC. (NPI# 1619087624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619087624 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH CENTERS, INC. |
| Other Organization Name | INDIANA HEALTH CENTERS AT MARION |
| Practice Address |
925 S Nebraska St Marion IN 46953-1874 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 7656647492 |
| Practice Fax Number | 7656644356 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 3175761339 |
| Enumeration Date | 2006-08-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100071250 B | 05 |
| Other Name | Type Code |
|---|---|
| Indiana Health Centers at Marion | 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 |
| 1134227689 | Indiana Health Centers, Inc. | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2006-09-20 |
| 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 |
| 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 |
925 S NEBRASKA ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672069 | Jeffrey D Breckenridge | Emergency Medicine | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-03-14 |
| 1376001024 | Kelli Coeline Linsenmayer | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2019-03-12 |
| 1346735370 | Stephen Daniel Conrad | Registered Nurse | 925 S Nebraska St, Marion, IN 46953-1874 | 2018-06-22 |
| 1952890352 | Israel Nieto | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2018-05-02 |
| 1255708988 | Elizabeth Dulmes | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2015-08-28 |
| 1073727046 | Ihc Wic Program At Marion | Public Health or Welfare | 925 S Nebraska St, Marion, IN 46953-1874 | 2007-05-09 |
| 1588727895 | Robert Keith Dawson | Nurse Practitioner | 925 S Nebraska St, Marion, IN 46953-1874 | 2006-12-18 |
| 1023105707 | Philip R Renfroe | Family Medicine | 925 S Nebraska St, Marion, IN 46953 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| 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 |
|---|---|---|---|---|
| 1528525359 | Medical Wellness Clinic | Family Medicine | 79 Academy St Ste D, Marion, NC 28752-3901 | 2019-02-28 |
| 1174092720 | Carehere LLC | Family Medicine | 83333 Express Drive, Suite # D, Marion, IL 62959-8226 | 2018-11-13 |
| 1972999035 | Charles Anthony Thompson | Family Medicine | 130 University Dr Ste 1100, Marion, OH 43302-1118 | 2015-04-15 |
| 1639583164 | Central Ohio Visiting Physicians | Family Medicine | 117 N Greenwood St, Suite 4, Marion, OH 43302-3129 | 2014-06-12 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
| 1598027765 | Jesse William Pace | Family Medicine | 5623 Highway 221 South, Marion, NC 28752-6101 | 2012-06-13 |
| 1215203708 | Qihui Joanna Liu | Family Medicine | 1713 Marion Mount Gilead Rd Ste 108, Marion, OH 43302-7868 | 2012-03-28 |
| 1356612006 | Marion Chronic Care Ltd | Family Medicine | 4501 W Deyoung St Ste B-203, Marion, IL 62959-6385 | 2012-01-25 |
| 1114213766 | Dave Parker Inc | Family Medicine | 1224 Greer Ave, Marion, VA 24354-4306 | 2011-06-22 |
| Find all providers in MARION | ||||
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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.