PURDUE UNIVERSITY (NPI# 1477549731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477549731 |
| Entity Type | Organization |
| Organization Name | PURDUE UNIVERSITY |
| Other Organization Name | FAMILY HEALTH CLINIC OF CARROLL COUNTY |
| Practice Address |
901 Prince William Rd Suite A Delphi IN 46923-1759 |
| Mailing Address |
901 Prince William Rd Ste A Delphi IN 46923-1759 |
| Practice Telephone | 7655643016 |
| Practice Fax Number | 7655642608 |
| Mailing Telephone | 7655643016 |
| Mailing Fax Number | 7655642608 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | MR. DANIEL J. LAYMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7655643016 |
| Is Organization Subpart | Y |
| Parent Organization Name | PURDUE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200233610A | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Clinic of Carroll County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295104669 | Purdue University | Clinic/Center | 425 E 5th Street, Suite B, Burlington, IN 46915 | 2015-09-16 |
| 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 |
| 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 |
901 PRINCE WILLIAM RD SUITE A |
| City | DELPHI |
| State | IN |
| Zip Code | 46923-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911360 | Kayla Jealea Hamstra | Nurse Practitioner | 901 Prince William Rd, Delphi, IN 46923-1758 | 2016-09-22 |
| 1285975532 | Jennifer A Boget | Registered Nurse | 901 Prince William Rd, Delphi, IN 46923-1758 | 2013-03-12 |
| 1265782957 | Karen Atcheson | Clinical Nurse Specialist | 901 Prince William Rd, Suite A, Delphi, IN 46923-1758 | 2012-09-11 |
| 1598926719 | Analei Marie Whitlock | Nurse Practitioner | 901 Prince William Rd, Delphi, IN 46923-1758 | 2008-06-19 |
| 1033277959 | Kimberly Renee O'leary | Counselor | 901 Prince William Rd, Delphi, IN 46923-1758 | 2006-12-04 |
| 1053482661 | Carmen Ann Jones | Nurse Practitioner | 901 Prince William Rd, Delphi, IN 46923-1758 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336624501 | Yadira Santiago Banuelos | Nurse Practitioner | 629 E Broadway St, Monon, IN 46923 | 2018-10-03 |
| 1275749988 | Jan E Davis | Midwife | 1544 West Us 421, Delphi, IN 46923 | 2007-05-16 |
| 1053539312 | Jennifer L Hendrickson | Speech-Language Pathologist | 5541 S 800 W, Delphi, IN 46923 | 2007-04-23 |
| 1205908803 | David P Krause | Dentist | 402 Armory Rd, Delphi, IN 46923 | 2006-11-15 |
| 1942726732 | Bridget Swing | Nurse Practitioner | 1165 N Us Highway 421, Delphi, IN 46923 | 2017-08-14 |
| 1265874382 | Allison Marie Dowty | Social Worker | 901 Prince William Rd Ste A, Delphi, IN 46923 | 2013-07-18 |
| 1437710498 | Chanler E Demerly | Optometrist | 750 E Main St, Delphi, IN 46923-1327 | 2019-06-21 |
| 1780177006 | Valerie Marion Colby | Optometrist | 750 E Main St, Delphi, IN 46923-1327 | 2018-06-11 |
| 1396150512 | Cameron Norman | Optometrist | 750 E Main St, Delphi, IN 46923-1327 | 2014-06-26 |
| 1740252881 | Norman Eyecare Ltd. | Optometrist | 750 E Main St, Delphi, IN 46923-1327 | 2006-02-03 |
| Find all providers in zip 46923 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.