JOHNSON NICHOLS HEALTH CLINIC, INC.


Address: 720 N Marr Rd Ste A, Columbus, IN 47201-6660
Phone: 8123143400

JOHNSON NICHOLS HEALTH CLINIC, INC. (NPI# 1114553948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114553948
Entity Type Organization
Organization Name JOHNSON NICHOLS HEALTH CLINIC, INC.
Practice Address 720 N Marr Rd Ste A
Columbus
IN 47201-6660
Practice Telephone 8123143400
Practice Fax Number 8123764875
Mailing Telephone 8123143400
Mailing Fax Number 8123764875
Enumeration Date 2020-03-12
Last Update Date 2020-03-12
Authorized Official Name ROBERT SIEGMANN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7653771205
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Centerstone Health Services, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518528579 Johnson Nichols Health Clinic, Inc. Clinic/Center 390 Erie Ave Ste A, Connersville, IN 47331-3177 2019-06-21
1740305200 Johnson Nichols Health Clinic, Inc. Clinic/Center 645 W Morgan St, Spencer, IN 47460-1133 2007-03-20
1497305791 Johnson Nichols Health Clinic, Inc. Counselor 645 S Rogers St, Bloomington, IN 47403-2353 2019-09-18

Office Location

Street Address 720 N MARR RD STE A
City COLUMBUS
State IN
Zip Code 47201-6660

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1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
1235404526 Eric Philip Tannenbaum Orthopaedic Surgery 940 N Marr Rd Ste C, Columbus, IN 47201 2012-03-20
1881994176 Terri Ann Brewer Social Worker 12000 W. Moores Vineyard Rd, Columbus, IN 47201 2010-11-02
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBUS
Zip Code 47201

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Dataset Information

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.

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