WELL CARE COMMUNITY HEALTH, INC. (NPI# 1427694314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427694314 |
| Entity Type | Organization |
| Organization Name | WELL CARE COMMUNITY HEALTH, INC. |
| Practice Address |
203 E Main St Richmond IN 47374-4208 |
| Mailing Address |
201 E Main St Richmond IN 47374-4208 |
| Practice Telephone | 7659739294 |
| Practice Fax Number | 7659739233 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DAVID KELLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7659739294 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELL CARE COMMUNITY HEALTH, INC. | 203 E Main St, Richmond, IN 47374-4208 |
| Street Address |
203 E MAIN ST |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881689172 | Windel A Stracener | Family Medicine | 203 E Main St, Richmond, IN 47374-4208 | 2005-09-13 |
| 1467009837 | Natalie Jeanne Jones | Physician Assistant | 203 E Main St, Richmond, IN 47374-4208 | 2019-08-21 |
| 1134601776 | Lisa Lynn Markley | Dental Hygienist | 203 E Main St, Richmond, IN 47374-4208 | 2018-08-30 |
| 1467788141 | Amber Marie Hibbert | Physician Assistant | 203 E Main St, Richmond, IN 47374-4208 | 2009-10-30 |
| 1366518102 | Wayne County Auditor | Family Medicine | 203 E Main St, Richmond, IN 47374-4208 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
| 1528539590 | Meridian Health Services Corp | Clinic/Center | 498 Nw 18th St., Bldg 416 Sted D, Bldg 416 Ste D, Richmond, IN 47374-2851 | 2018-12-17 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1689186785 | Meridian Health Services Corp | Clinic/Center | 630 E Main Street, Suite 200, Richmond, IN 47374-4358 | 2017-10-30 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 1184177743 | Vernon J Harris East End Community Health Center | Clinic/Center | 7945 Forest Hill Ave, Richmond, VA 23225-1932 | 2016-08-01 |
| 1760833008 | Vernon J Harris East End Community Health Center | Clinic/Center | 1718 Williamsburg Rd, Richmond, VA 23231-3428 | 2016-06-28 |
| 1699029330 | Lifelong Medical Care Richmond Clinic | Clinic/Center | 2400 Nevin Ave, Richmond, CA 94804-1700 | 2012-11-02 |
| 1659669596 | The Daily Planet Inc | Clinic/Center | 700 Dinwiddie Ave, Richmond, VA 23224-5522 | 2011-07-13 |
| Find all providers in RICHMOND | ||||
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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.