ACTIVATE HEALTHCARE - RED GOLD BERNE (NPI# 1619484730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619484730 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - RED GOLD BERNE |
| Practice Address |
926 W. 500 S. Berne IN 46711 |
| Mailing Address |
2010 N Damen Ave Unit F Chicago IL 60647-3286 |
| Practice Telephone | 2608494296 |
| Practice Fax Number | 2608494298 |
| Mailing Telephone | 7736973144 |
| Mailing Fax Number | 8728082119 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
| Authorized Official Telephone | 7736973144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
926 W. 500 S. |
| City | BERNE |
| State | IN |
| Zip Code | 46711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933412 | Annette Elizabeth Edgell | Registered Nurse | 524 W Hoosier St, Berne, IN 46711 | 2019-07-12 |
| 1447655139 | Kaup Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 104 W Main Street, Berne, IN 46711 | 2014-10-24 |
| 1740341197 | Eugene E Kruse | Chiropractor | 1095 Us 27 South, Berne, IN 46711 | 2006-12-12 |
| 1871652925 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 928 Us 27 N, Berne, IN 46711 | 2006-12-06 |
| 1417939273 | Steven A. Degroff | Optometrist | 150 Forest Park Dr, Berne, IN 46711 | 2005-11-17 |
| 1952405581 | Robert Eugene Judge | Family Medicine | 1521 W Main St, Suite 1, Berne, IN 46711 | 2006-09-12 |
| 1619527686 | Stephanie Lothamer | Advanced Practice Midwife | 524 W Hoosier St, Berne, IN 46711-1019 | 2019-09-12 |
| 1841492238 | Stoller Dental Clinic PC | Dentist | 525 W Parr Rd, Berne, IN 46711-1131 | 2007-06-05 |
| 1710281860 | Decatur Dental Services, Inc. | Dentist | 525 W Parr Rd, Berne, IN 46711-1131 | 2011-01-04 |
| 1124215504 | Allen R Stoller | Dentist | 525 W Parr Rd, Berne, IN 46711-1131 | 2007-09-28 |
| Find all providers in zip 46711 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.