ECHO COMMUNITY HEALTH CARE, INC. (NPI# 1467483255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467483255 |
| Entity Type | Organization |
| Organization Name | ECHO COMMUNITY HEALTH CARE, INC. |
| Other Organization Name | DIVISION STREET FAMILY CLINIC |
| Practice Address |
25 W Division St Evansville IN 47710-1374 |
| Mailing Address |
315 Mulberry St Evansville IN 47713-1252 |
| Practice Telephone | 8124360205 |
| Practice Fax Number | 8124360207 |
| Mailing Telephone | 8124217489 |
| Mailing Fax Number | 8124360209 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | SANDEE STRADER-MCMILLEN (CEO) |
| Authorized Official Telephone | 8124217489 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200079040 | 05 |
| Other Name | Type Code |
|---|---|
| Division Street Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700816683 | Echo Community Health Care, Inc. | Clinic/Center | 501 John Street, Suite 12, Evansville, IN 47713-2705 | 2006-07-04 |
| 1770875973 | Echo Community Health Care, Inc. | Nurse Practitioner | 801 Saint Marys Dr, Suite 309, Evansville, IN 47714-0511 | 2011-05-05 |
| 1912906850 | Echo Community Health Care, Inc. | Clinic/Center | 315 Mulberry St, Evansville, IN 47713-1252 | 2005-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ECHO COMMUNITY HEALTH CARE, INC. | 315 Mulberry St, Evansville, IN 47713-1252 |
| Street Address |
25 W DIVISION ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956442 | Patricia W Tharp | Pediatrics | 25 W Division St, Evansville, IN 47710-1374 | 2005-07-20 |
| 1164053088 | Lee-ann Susan Assalone | Social Worker | 25 W Division St, Evansville, IN 47710-1374 | 2020-01-29 |
| 1255858452 | Brandi E Watson | Social Worker | 25 W Division St, Evansville, IN 47710-1374 | 2017-08-28 |
| 1063960540 | Jani Sue Reisinger | Nurse Practitioner | 25 W Division St, Evansville, IN 47710-1374 | 2016-09-14 |
| 1023324282 | Amy Carol Wall | Nurse Practitioner | 25 W Division St, Evansville, IN 47710-1374 | 2010-08-26 |
| 1346574407 | Sheila Ann Jensen | Nurse Practitioner | 25 W Division St, Evansville, IN 47710-1374 | 2009-09-22 |
| 1316063613 | Thomas Lee Stratton | Family Medicine | 25 W Division St, Evansville, IN 47710-1374 | 2007-03-21 |
| 1639294077 | Danielle M. Hudak | Registered Nurse | 25 W Division St, Evansville, IN 47710-1374 | 2007-03-21 |
| 1427173871 | Grace Hert | Dietitian, Registered | 25 W Division St, Evansville, IN 47710-1374 | 2007-03-21 |
| 1376598409 | Karen Barnes-ellis | Nurse Practitioner | 25 W Division St, Evansville, IN 47710-1374 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| 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 |
|---|---|---|---|---|
| 1700816683 | Echo Community Health Care, Inc. | Clinic/Center | 501 John Street, Suite 12, Evansville, IN 47713-2705 | 2006-07-04 |
| 1063805216 | Echo Community Health Care, Inc | Clinic/Center | 315 Mulberry St, Evansville, IN 47713-1252 | 2015-03-12 |
| 1912906850 | Echo Community Health Care, Inc. | Clinic/Center | 315 Mulberry St, Evansville, IN 47713-1252 | 2005-07-20 |
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| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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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.