ACTIVATE HEALTHCARE - BREMEN CLINIC (NPI# 1841698602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841698602 |
Entity Type | Organization |
Organization Name | ACTIVATE HEALTHCARE - BREMEN CLINIC |
Practice Address |
710 W Dewey St Bremen IN 46506-1185 |
Mailing Address |
2010 N Damen Ave Suite F Chicago IL 60647-3284 |
Practice Telephone | 5742484856 |
Practice Fax Number | 5742484857 |
Mailing Telephone | 7736973144 |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |
Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
Authorized Official Telephone | 8473439190 |
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 |
710 W DEWEY ST |
City | BREMEN |
State | IN |
Zip Code | 46506-1185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356564447 | Laura A Both | Family Medicine | 1144 W. Plymouth St., Bremen, IN 46506 | 2007-04-10 |
1770638934 | Bremen Public Schools | Local Education Agency (LEA) | 512 West Grant, Bremen, IN 46506 | 2007-01-25 |
1194764449 | Sandra R. Brown | Obstetrics & Gynecology | 1144 W Plymouth St, Bremen, IN 46506 | 2006-06-05 |
1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
1902017080 | Community Hospital of Bremen, Inc. | Family Medicine | 1020 High Road, Bremen, IN 46506 | 2007-05-24 |
1184771461 | James Wellington Lowe | Emergency Medicine | 1020 High Road, Bremen, IN 46506 | 2007-01-05 |
1376525303 | Diane M. Mackie & Associates, PC | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
1689680977 | John Keith Frey | Emergency Medicine | 1020 High Road, Bremen, IN 46506-0008 | 2006-07-31 |
1972585909 | Diane M Mackie | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
Find all providers in zip 46506 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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 |
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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.