GREATER LAFAYETTE HEALTH SERVICES


Address: 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438
Phone: 7654477447

GREATER LAFAYETTE HEALTH SERVICES (NPI# 1710065750) 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) 1710065750
Entity Type Organization
Organization Name GREATER LAFAYETTE HEALTH SERVICES
Other Organization Name INNERVISION ADVANCED MEDICAL IMAGING
Practice Address 1411 S Creasy Ln
Suite 130
Lafayette
IN 47905-7438
Mailing Address 2400 South St
Lafayette
IN 47904-3027
Practice Telephone 7654477447
Enumeration Date 2006-11-01
Last Update Date 2007-11-27
Authorized Official Name MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7654236161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
IN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 000000311919 01

Other Provider/Organization Names

Other Name Type Code
Innervision Advanced Medical Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396044392 Greater Lafayette Health Services Durable Medical Equipment & Medical Supplies 1260 N 17th St, Lafayette, IN 47904-2163 2011-03-17
1255529335 Greater Lafayette Health Services Clinic/Center 3482 Mcclure Ave, West Lafayette, IN 47906 2007-10-15
1609968254 Greater Lafayette Health Services Clinic/Center 1000 North 18th Street, Lafayette, IN 47904 2006-09-29
1003915455 Greater Lafayette Health Services Clinic/Center 1017 O Connor Blvd, Monticello, IN 47960-1600 2006-09-22
1093013393 Greater Lafayette Health Services Durable Medical Equipment & Medical Supplies 1701 S Creasy Ln, Lafayette, IN 47905-4972 2011-03-10
1265763742 Greater Lafayette Health Services Pharmacy 1701 S Creasy Ln, Lafayette, IN 47905-4972 2010-01-22
1508935552 Greater Lafayette Health Services Clinic/Center 1425 Unity Pl, Lafayette, IN 47905-5756 2006-11-06
1982782934 Greater Lafayette Health Services Clinic/Center 1345 Unity Pl, Suite 235, Lafayette, IN 47905-5760 2006-11-01
1285733584 Greater Lafayette Health Services Clinic/Center 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 2006-09-22
1851498075 Greater Lafayette Health Services Clinic/Center 1300 S Jackson St, Frankfort, IN 46041-3313 2006-09-20

Office Location

Street Address 1411 S CREASY LN
SUITE 130
City LAFAYETTE
State IN
Zip Code 47905-7438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922095769 Michael D Krauss Internal Medicine 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2005-10-05
1174058507 Lisa M Smith Specialist/Technologist, Other 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2017-04-24
1255887600 Emily Martin Physical Therapy Assistant 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 2016-08-26
1881148708 Rebecah Gray Specialist/Technologist, Other 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2016-08-09
1306294772 Erica Zartman Physical Therapist 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 2016-05-26
1689053779 Gusta Michelle Owens Specialist/Technologist 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 2015-05-22
1285024273 Mary Ritter Occupational Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2015-01-28
1275933707 Danielle Smith Amos Physical Therapy Assistant 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-09-03
1275957938 Sara E Blasing Physical Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-02-14
1144642612 Jessica Baumetz Dpt Physical Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239899 Eagle Imaging LLC Clinic/Center 204 Petroleum Dr, Lafayette, LA 70508-3880 2020-09-09
1700424595 Boulder Community Health Clinic/Center 1000 W South Boulder Rd, Lafayette, CO 80026-2752 2019-12-12
1487202552 Boulder Community Health Clinic/Center 1000 W South Boulder Rd, Lafayette, CO 80026-2752 2019-08-30
1396849881 Lafayette General Imaging LLC Clinic/Center 1211 Coolidge Blvd, Lafayette, LA 70503-2636 2006-09-12
1124044748 St. Mary's Imaging Center Clinic/Center 611 Saint Landry St, Lafayette, LA 70506-4627 2006-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689286973 Reid Physician Associates Inc Clinic/Center 1154 S State Road 1 Ste 2, Cambridge City, IN 47327-9513 2020-08-19
1710476668 Reid Physician Associates, Inc. Clinic/Center 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 2018-05-07
1548787203 Deaconess Hospital, Inc. Clinic/Center 4949 Healthy Way Ste B, Evansville, IN 47715-1180 2017-08-24
1013452283 George B. Pratt, Md Clinic/Center 9015 Crystal Lake Dr, Indianapolis, IN 46240-6414 2016-12-27
1134564016 Chn Jmh Ventures LLC Clinic/Center 3000 S State Road 135 Ste 120, Greenwood, IN 46143-9829 2013-05-06
1578871257 Smartview Imaging, LLC Clinic/Center 7818 E 96th St, Fishers, IN 46037-9629 2010-09-16
1255529335 Greater Lafayette Health Services Clinic/Center 3482 Mcclure Ave, West Lafayette, IN 47906 2007-10-15
1205919982 Northwestern Medical Imaging LLC Clinic/Center 1946 45th Ave, Munster, IN 46321-3917 2006-10-24
1720178726 Indiana Mri of Evansville, LLC Clinic/Center 729 John St, Evansville, IN 47713-2754 2006-10-13
1750471470 Indiana Regional P E T and Imaging Center, LLC Clinic/Center 7891 Broadway Ste A, Merrillville, IN 46410-5556 2006-10-13
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Competitor

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City LAFAYETTE
Zip Code 47905

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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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