KOSCIUSKO COUNTY FREE CLINIC, INC (NPI# 1083245955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083245955 |
| Entity Type | Organization |
| Organization Name | KOSCIUSKO COUNTY FREE CLINIC, INC |
| Practice Address |
7822 E. Epworth Forest Road North Webster United Methodist Church North Webster IN 46555 |
| Mailing Address |
22 Ems C27c2 Ln Warsaw IN 46582-9067 |
| Practice Telephone | 5748342871 |
| Mailing Telephone | 5742681917 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MS. KATHLEEN KOSTRO (PRESIDENT) |
| Authorized Official Telephone | 5742681917 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KOSCIUSKO COUNTY FREE CLINIC, INC. | 22 Ems C27c2 Ln, Warsaw, IN 46582-9067 |
| Indiana Business Entities | KOSCIUSKO COUNTY FREE CLINIC, INC. | 1822 East Center Street, Warsaw, IN 46580 |
| Street Address |
7822 E. EPWORTH FOREST ROAD NORTH WEBSTER UNITED METHODIST CHURCH |
| City | NORTH WEBSTER |
| State | IN |
| Zip Code | 46555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245778539 | Anna Cherise Coello | Counselor | 225 N. Main St., Unit 5, North Webster, IN 46555 | 2017-02-07 |
| 1093176463 | Jonna Buller | Social Worker | 225 N. Main St., Ste 5, North Webster, IN 46555 | 2016-03-14 |
| 1821191529 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 618 South Main St, N. Webster, IN 46555 | 2006-09-07 |
| 1063923456 | Gabriel P Koser | Counselor | 225 North Main Street, #5, North Webster, IN 46555 | 2017-10-12 |
| 1679955231 | Turning Point, Inc. | Counselor | 225 North Main Street, Suite 5, North Webster, IN 46555 | 2015-06-19 |
| 1275970998 | Andrew Bautz | Marriage & Family Therapist | 225 North Main Street, Suite 5, North Webster, IN 46555 | 2013-06-04 |
| 1811230923 | 2 Nurses Home Care, Inc. | Home Health | 301 N. Main St., North Webster, IN 46555 | 2013-03-27 |
| 1689910119 | 2 Nurses Home Care, Inc. | Non-emergency Medical Transport (VAN) | 220 N. Main St., N. Webster, IN 46555 | 2013-01-03 |
| 1215258546 | Lakeland Spinal Health PC | Chiropractor | 118 S Main St, North Webster, IN 46555 | 2010-06-22 |
| 1801956404 | Jay D Koontz | Chiropractor | 118 S Main St, North Webster, IN 46555 | 2006-12-12 |
| Find all providers in zip 46555 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798224 | Sattva Yoga Therapy LLC | Clinic/Center | 1027 W Rudisill Blvd, Fort Wayne, IN 46807-2160 | 2020-07-30 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1952894594 | Cadenza Wellness, PC | Clinic/Center | 332 W Us Highway 30 Ste A, Valparaiso, IN 46385-5344 | 2018-06-08 |
| 1144748294 | Women of Excellence LLC | Clinic/Center | 9445 Indianapolis Blvd, Highland, IN 46322-2648 | 2017-09-08 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1558724658 | Abundant Home Healthcare LLC | Clinic/Center | 7801 Sailors Ln, Indianapolis, IN 46254-9607 | 2016-04-05 |
| 1508247909 | Ur Care Health Services | Clinic/Center | 2508 Pleasant Ave, Fort Wayne, IN 46805-3320 | 2015-06-11 |
| 1700203544 | Fcc Terre Haute | Clinic/Center | 4200 Bureau Rd N, Terre Haute, IN 47802-8128 | 2014-03-18 |
| 1679998801 | Wellness Medical Center Inc | Clinic/Center | 350 Missouri Ave Ste 102, Jeffersonville, IN 47130-3001 | 2014-02-25 |
| 1457774663 | Occupations Health Centers of New Jersey Pa | Clinic/Center | 4100 Edison Lakes Pkwy, Mishawaka, IN 46545-3465 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WEBSTER |
| Zip Code | 46555 |
Please comment or provide details below to improve the information on KOSCIUSKO COUNTY FREE CLINIC, 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.