PURDUE UNIVERSITY (NPI# 1295104669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295104669 |
| Entity Type | Organization |
| Organization Name | PURDUE UNIVERSITY |
| Other Organization Name | FAMILY HEALTH CLINIC OF BURLINGTON |
| Practice Address |
425 E 5th Street Suite B Burlington IN 46915 |
| Mailing Address |
901 Prince William Rd Suite A Delphi IN 46923-1758 |
| Practice Telephone | 7655643016 |
| Practice Fax Number | 7655642608 |
| Mailing Telephone | 7655643016 |
| Mailing Fax Number | 7655642608 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MR. DANIEL J LAYMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7655643016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Clinic of Burlington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154622512 | Purdue University | Clinic/Center | 2200 169th St, Hammond, IN 46323-2068 | 2010-11-16 |
| 1245474782 | Purdue University | Pharmacy | 625 Harrison St, West Lafayette, IN 47907-2026 | 2009-04-28 |
| 1871794826 | Purdue University | Clinic/Center | 420 N Market St, Monon, IN 47959-9799 | 2007-05-29 |
| 1780885731 | Purdue University | Clinic/Center | 509 North Street, Lafayette, IN 47901 | 2007-05-29 |
| 1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
| 1053512004 | Purdue University | Dentist | 2101 East Coliseum Boulevard, Neff Hall Room 109, Fort Wayne, IN 46805-1499 | 2007-05-29 |
| 1477549731 | Purdue University | Clinic/Center | 901 Prince William Rd, Suite A, Delphi, IN 46923-1759 | 2005-09-22 |
| 1225584295 | Purdue University | Nurse Practitioner | 2101 E Coliseum Blvd, Wu 234, Fort Wayne, IN 46805-1445 | 2016-08-30 |
| 1598111791 | Purdue University | Clinic/Center | 128 W Market St, Wolcott, IN 47995-8130 | 2016-05-06 |
| 1679917710 | Purdue University | Clinic/Center | 2101 E Coliseum Blvd, Walb Union 234, Fort Wayne, IN 46805-1445 | 2013-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PURDUE UNIVERSITY | 155 S Grant St, West Lafayette, IN 47907-2114 |
| Indiana Business Entities | PURDUE UNIVERSITY CALUMET CHAPTER OF SIGMA XI, INC. | Dept. of Mathematics Purdue Univ Calumet, 2200 169th St, Hammond, IN 46323 |
| Virginia Business Entities | Purdue University Global Inc. | 9000 Keystone Xing Ste 800, Indianapolis, Indiana 46240 |
| Oregon Corporations, Companies and Business Names | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Colorado Business Entities | Purdue University Global, Inc. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Iowa Business Entities | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, 800, Indianapolis, IN 46240 |
| Connecticut Business Registrations | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone Crossing #800, Indianapolis, IN 46240 |
| Washington State Corporations | PURDUE UNIVERSITY GLOBAL, INC. | 9000 Keystone, #800, Indianapolis, IN 46240 |
| Street Address |
425 E 5TH STREET SUITE B |
| City | BURLINGTON |
| State | IN |
| Zip Code | 46915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205955150 | Gary Hartman | Physician Assistant | 605 East 7th St., Burlington, IN 46915-0038 | 2007-03-29 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
| 1134525645 | Amy R Aeschliman | Nurse Practitioner | 425 E. 5th Street, Suite B, Burlington, IN 46915-1758 | 2014-11-10 |
| 1568432367 | Marius Julian Nefliu | Internal Medicine | 400 W 7th Street, Frederick Memorial Hospital, Frederick, MD 46915-9441 | 2006-01-24 |
| 1285614511 | Don J Wagoner | Family Medicine | 605 E 7th St, Burlington, IN 46915-9441 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1730789686 | Paige Perkins | Licensed Practical Nurse | 5 Hardy Ave, Burlington, VT 05408-1203 | 2020-10-29 |
| 1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
| 1982202966 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1433 Boone Station Dr, Burlington, NC 27215-8229 | 2020-10-13 |
| 1578170866 | Private Healthcare Facilities | Clinic/Center | 5617 Spring Valley Rd, Burlington, WI 53105-9003 | 2020-09-30 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1619582509 | Cheyanne Mckay Alexander | Technician | 369 Hillbilly Heaven Rd, Burlington, WV 26710-7596 | 2020-09-09 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1689288300 | Barbara A Crotty | Massage Therapist | 2879c Rob Shepard Dr, Burlington, NC 27215-9299 | 2020-09-01 |
| Find all providers in BURLINGTON | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014596 | Piedmont Health Services, Inc | Clinic/Center | 5270 Union Ridge Rd, Burlington, NC 27217-7594 | 2006-09-19 |
| 1497058804 | Piedmont Health Services, Inc | Clinic/Center | 1214 Vaughn Rd, Ste 101, Burlington, NC 27217-2863 | 2010-12-08 |
| 1083832851 | Community Health Centers of Burlington Inc | Clinic/Center | 617 Riverside Ave, Burlington, VT 05401-1601 | 2007-04-24 |
| 1588768527 | Piedmont Health Services, Inc | Clinic/Center | 221 N Graham Hopedale Rd, Burlington, NC 27217-2971 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861313 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 5th Ave, Gary, IN 46402-1723 | 2020-11-06 |
| 1205446259 | Hamilton Center Inc. | Clinic/Center | 622 8th Avenue, Terre Haute, IN 47804-4780 | 2020-08-05 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1316573413 | Meridian Health Services Corp. | Clinic/Center | 1601 E 26th St # 6, Muncie, IN 47302-5808 | 2020-03-20 |
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1023642576 | Southlake Community Mental Health Center Inc. | Clinic/Center | 2250 173rd St Ste 111, Hammond, IN 46323-2074 | 2020-02-24 |
| 1053944058 | 219 Health Network Inc | Clinic/Center | 1802 E Columbus Dr, East Chicago, IN 46312-2826 | 2020-02-18 |
| 1225661234 | 219 Health Network Inc | Clinic/Center | 4320 Fir St Unit 208, East Chicago, IN 46312-8410 | 2020-02-18 |
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 46915 |
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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.