CONVENIENT CARE CLINIC (NPI# 1376823112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376823112 |
| Entity Type | Organization |
| Organization Name | CONVENIENT CARE CLINIC |
| Practice Address |
1813 Willow St Suite 3 Vincennes IN 47591-4276 |
| Mailing Address |
520 S 7th St Vincennes IN 47591-1038 |
| Practice Telephone | 8128858941 |
| Practice Fax Number | 8128858940 |
| Mailing Telephone | 8128858972 |
| Mailing Fax Number | 8128853773 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | MR. MATTHEW SCHUCKMAN (VICE PRESIDENT OF PHYSICIAN SERVICE) |
| Authorized Official Telephone | 8128858972 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200922190 | 05 |
| Street Address |
1813 WILLOW ST SUITE 3 |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927886 | Richard Walter | Internal Medicine | 1813 Willow St, Suite 5 B, Vincennes, IN 47591-4267 | 2005-07-26 |
| 1336616846 | Pain Management Centers of America | Psychiatry & Neurology | 1813 Willow St, Vincennes, IN 47591-4276 | 2018-11-01 |
| 1083153878 | Lindsey Hope Vanschoyck | Nurse Practitioner | 1813 Willow St, #3a, Vincennes, IN 47591-4276 | 2017-02-14 |
| 1548622178 | Stephanie Fuller | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4279 | 2016-03-23 |
| 1467812347 | Advanced Pain Management, Sc | Durable Medical Equipment & Medical Supplies | 1813 Willow St, Suite 4d, Vincennes, IN 47591-4276 | 2016-03-04 |
| 1033586599 | Kimberly R Meade | Registered Nurse | 1813 Willow St, Vincennes, IN 47591-4276 | 2015-08-31 |
| 1942550389 | Allison Leann Krieger | Nurse Practitioner | 1813 Willow St, Suite 3, Vincennes, IN 47591-4276 | 2012-09-13 |
| 1437466745 | Jena Elizabeth Wathen | Social Worker | 1813 Willow St, Suite 6a, Vincennes, IN 47591-4276 | 2010-09-08 |
| 1508069543 | Gastrointestinal Specialists,pc | Internal Medicine | 1813 Willow St, Suite 5 B, Vincennes, IN 47591-4267 | 2007-06-07 |
| 1497803308 | Patricia A. Borst | Nurse Practitioner | 1813 Willow St, Vincennes, IN 47591-4276 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083943278 | Nibel Gp LLC | Clinic/Center | 1813 Willow, Suite 5a, Vincennes, IN 47591 | 2009-12-17 |
| 1518198803 | Dr Cheryl Mccormick Optometrist, PC | Clinic/Center | 120 Main St, Vincennes, IN 47591-1234 | 2009-08-04 |
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| 1629679170 | Gentlemind Health Services | Clinic/Center | 3635 Lake Ave, Fort Wayne, IN 46805-5539 | 2020-11-02 |
| 1063021129 | Affordable Lab Solutions | Clinic/Center | 1121 16th St, Bedford, IN 47421-3721 | 2020-07-24 |
| 1568071710 | Ivx Health of Indiana PC | Clinic/Center | 9510 N Meridian St Ste D, Indianapolis, IN 46260-1333 | 2020-07-23 |
| 1346867942 | Henry County Memorial Hospital | Clinic/Center | 4760 National Rd W, Richmond, IN 47374-4745 | 2020-06-30 |
| 1114541935 | Ourhealth Physicians Group, LLC | Clinic/Center | 9998 N Michigan Rd, Carmel, IN 46032-9640 | 2020-06-08 |
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1497306310 | Activate Healthcare - Ibew Local 153/ua Local 172 South Bend | Clinic/Center | 3371 W Cleveland Road Ext Ste 120, South Bend, IN 46628-9780 | 2019-09-23 |
| 1437707601 | Nuyou Therapies, LLC | Clinic/Center | 5401 Vogel Rd Ste 740, Evansville, IN 47715-7834 | 2019-08-29 |
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
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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.