FCP, INC. (NPI# 1770778102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770778102 |
Entity Type | Organization |
Organization Name | FCP, INC. |
Practice Address |
11295 Ncr 300w Brazil IN 47834 |
Mailing Address |
Po Box 515 Brazil IN 47834-0515 |
Practice Telephone | 8124462833 |
Practice Fax Number | 8124462833 |
Mailing Telephone | 8124462833 |
Mailing Fax Number | 8124462833 |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-12-18 |
Authorized Official Name | DR. JAMES F FORSTER IV (PRESIDENT) |
Authorized Official Telephone | 8124462833 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BLUE CROSS BLUE SHIELD | 000000499223 | 01 |
IN | UMWA | 1530980 | 01 |
Street Address |
11295 NCR 300W |
City | BRAZIL |
State | IN |
Zip Code | 47834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
1215952601 | Sally J Sidman | Emergency Medicine | 1206 E. National Avenue, Brazil, IN 47834 | 2006-07-13 |
Find all providers in zip 47834 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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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.