ACTIVATE HEALTHCARE - OLD NATIONAL BANK (NPI# 1811442114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811442114 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - OLD NATIONAL BANK |
| Practice Address |
123 Main St Evansville IN 47708-1447 |
| Mailing Address |
2010 N Damen Ave Unit F Chicago IL 60647-3286 |
| Practice Telephone | 8126023300 |
| Practice Fax Number | 8126023301 |
| Mailing Telephone | 7736973144 |
| Mailing Fax Number | 8728082119 |
| Enumeration Date | 2016-08-17 |
| 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 |
123 MAIN ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47708-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870550 | Evansville In Homecare, LLC | In Home Supportive Care | 123 Nw 4th St Ste 312, Evansville, IN 47708 | 2017-09-22 |
| 1881094290 | Quad Med LLC | Clinic/Center | 1 Nw Mlk Jr Blvd, Rm 106, Evansville, IN 47708 | 2014-09-04 |
| 1598051948 | Kyle Wesley King | Optometrist | 213 Main St, Evansville, IN 47708 | 2011-06-23 |
| 1306902879 | Roger Marin Haywood | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1528124096 | Kimberly Anne Haywood Pfender | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1902857014 | Stratmans Pharmacy Inc | Pharmacy | 407 Main St, Evansville, IN 47708 | 2006-05-13 |
| 1508994153 | Sycamore Rehabilitation Services-hcarc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 W Lloyd Expy, Evansville, IN 47708-1146 | 2007-03-02 |
| 1669721726 | Klipsch Senior Care LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2012-09-05 |
| 1083166359 | Terre Haute Senior Care, LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2016-11-02 |
| 1760037642 | Andrea Crabtree | Behavioral Analyst | 101 Nw 1st St Ste 118, Evansville, IN 47708-1259 | 2019-08-07 |
| Find all providers in zip 47708 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1861869760 | Smith Family Medicine | Clinic/Center | 8128 Lincoln Ave, Apt. C, Evansville, IN 47715-7236 | 2015-08-26 |
| 1801171004 | Selcare LLC | Clinic/Center | 5010 Davis Lant Dr, Evansville, IN 47715-8947 | 2011-10-19 |
| 1922237536 | Functional Health, LLC | Clinic/Center | 8601 N Kentucky Ave, Suite I, Evansville, IN 47725-6371 | 2009-07-06 |
| 1295289601 | Careatc - Evansville Clinic | Clinic/Center | 1212 Saint George Rd, Evansville, IN 47711-2364 | 2016-08-15 |
| 1851525539 | Tristate Assoc of Internal Medicine | Clinic/Center | 827 S Green River Rd, Evansville, IN 47715-4105 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 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 | ||||
| City | EVANSVILLE |
| Zip Code | 47708 |
Please comment or provide details below to improve the information on ACTIVATE HEALTHCARE - OLD NATIONAL BANK.
| 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.