JANE PAULEY COMMUNITY HEALTH CENTER INC (NPI# 1730488818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730488818 |
| Entity Type | Organization |
| Organization Name | JANE PAULEY COMMUNITY HEALTH CENTER INC |
| Practice Address |
8931 E 30th St Indianapolis IN 46219-1501 |
| Mailing Address |
1503 N Mitthoeffer Rd Ste 150 Indianapolis IN 46229-2425 |
| Practice Telephone | 3173559320 |
| Practice Fax Number | 3173559319 |
| Mailing Telephone | 3173559320 |
| Mailing Fax Number | 3173559319 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MR. MICHAEL DALE (FINANCE DIRECTOR) |
| Authorized Official Telephone | 3173558704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201026910 | 05 |
| Street Address |
8931 E 30TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063503134 | Johnnie K Springman | Nurse Practitioner | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2006-09-27 |
| 1043845696 | Stephanie Poole | Social Worker | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2020-03-04 |
| 1447730460 | Candice Liane Closser | Registered Nurse | 8931 E 30th St, Indianapolis, IN 46219 | 2018-08-20 |
| 1891162764 | Tina Nitsos | Nurse Practitioner | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2015-08-27 |
| 1699119909 | Monica Kaufman | Social Worker | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2013-04-18 |
| 1740439660 | Abby Boston | Social Worker | 8931 E 30th St, Indianapolis, IN 46219 | 2008-09-16 |
| 1487708715 | Anne M Willet | Nurse Practitioner | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1639581069 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1650 N College Ave Ste B, Indianapolis, IN 46202-1715 | 2014-05-20 |
| 1093054447 | The Health and Hospital Corporation of Marion County | Clinic/Center | 6940 Michigan Rd Ste 135, Indianapolis, IN 46268-2800 | 2013-02-05 |
| 1831438282 | The Health and Hospital Corporation of Marion County | Clinic/Center | 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226-4462 | 2013-02-05 |
| 1437439510 | Windrose Health Network, Inc. | Clinic/Center | 8404 Siear Ter Ste 208, Indianapolis, IN 46227-7201 | 2011-08-22 |
| 1992924633 | Shalom Health Care Center, Inc. | Clinic/Center | 3400 Lafayette Road, Suite 200, Indianapolis, IN 46222-1147 | 2007-04-24 |
| 1942303086 | Indiana Health Centers Inc | Clinic/Center | 8003 Castleway Dr, Indianapolis, IN 46250 | 2006-09-06 |
| 1538167036 | Shalom Health Care Center, Inc. | Clinic/Center | 3400 Lafayette Rd, Sutie 200, Indianapolis, IN 46222-1146 | 2005-07-08 |
| 1487268413 | Aspire Indiana Health Inc | Clinic/Center | 201 Shelby St, Rm 101 & 103, Indianapolis, IN 46202-3943 | 2020-09-08 |
| 1053951806 | Aspire Indiana Health Inc | Clinic/Center | 201 Shelby St, Indianapolis, IN 46202-3943 | 2020-01-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on JANE PAULEY COMMUNITY HEALTH CENTER INC.
| 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.