EVANSVILLE CHRISTIAN LIFE CENTER INC (NPI# 1689740375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689740375 |
| Entity Type | Organization |
| Organization Name | EVANSVILLE CHRISTIAN LIFE CENTER INC |
| Practice Address |
265 Bellemeade Ave Evansville IN 47713-1775 |
| Mailing Address |
509 S Kentucky Ave Evansville IN 47714-1091 |
| Practice Telephone | 8124266152 |
| Practice Fax Number | 8124266160 |
| Mailing Telephone | 8124239222 |
| Mailing Fax Number | 8124288441 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | LOIS ARMITAGE (MEDICAL CARE SERVICES MANAGER) |
| Authorized Official Telephone | 8124266152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
0005058783 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100180700A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609321660 | Evansville Christian Life Center Inc | Clinic/Center | 265 Bellemeade Ave, Evansville, IN 47713-1775 | 2016-08-19 |
| Street Address |
265 BELLEMEADE AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679057889 | Kellie Ann Jarboe | Nurse Practitioner | 265 Bellemeade Ave, Evansville, IN 47713-1775 | 2018-09-24 |
| 1609321660 | Evansville Christian Life Center Inc | Clinic/Center | 265 Bellemeade Ave, Evansville, IN 47713-1775 | 2016-08-19 |
| 1427118421 | Jane A Kratochvil | Nurse Practitioner | 265 Bellemeade Ave, Evansville, IN 47713-1775 | 2006-12-11 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053669523 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 1212 Saint George Rd, Evansville, IN 47711-2364 | 2012-08-15 |
| 1558631309 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 100 N Governor St, Evansville, IN 47711-5540 | 2012-01-11 |
| 1952592552 | Kramer Chiropractic P.a. | Clinic/Center | 105 Main St Nw, Box 206, Evansville, MN 56326-4548 | 2007-08-07 |
| 1720645401 | Restoration Chiropractic LLC | Clinic/Center | 5010 Davis Lant Dr Ste 4, Evansville, IN 47715-8947 | 2019-05-29 |
| 1881968071 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 1 N Main St, Evansville, IN 47711-5446 | 2012-03-06 |
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| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
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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.