PREMIER CARE OF INDIANA, INC. (NPI# 1548707748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548707748 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE OF INDIANA, INC. |
| Practice Address |
317 S Norton St Marion IN 46952-3296 |
| Mailing Address |
9449 N 90th St Ste 212 Scottsdale AZ 85258-5037 |
| Practice Telephone | 7656640101 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | TODD STINGLEY (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1522-0-ASR | IN | Agencies |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1522-5-OTF | IN | Ambulatory Health Care Facilities |
| Street Address |
317 S NORTON ST |
| City | MARION |
| State | IN |
| Zip Code | 46952-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741069 | Abagail Paige Alumbaugh | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1215559141 | Ciera Johnson | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1124640057 | Whitney Baker | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1659912897 | Aubrey Kristen Richards | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-30 |
| 1073164372 | Ashley Nicole Wilkins | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1568013878 | Lisa Rice | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1356992689 | Kortney Mitchell | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1336790658 | Nancy Jeannine Coffman | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1124517743 | Kelly M Folbrecht | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2018-05-09 |
| 1194214783 | Catherine M Hilson | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306497052 | Shawnee Health Service and Development Corp | Clinic/Center | 1506 Sioux Dr, Marion, IL 62959-5209 | 2019-09-24 |
| 1932506359 | Cedar Valley Recovery Services Inc | Clinic/Center | 151 Marion Blvd, Marion, IA 52302-3135 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041933 | Hamilton Center Inc. | Clinic/Center | 401 Plainfield Commons Dr, Plainfield, IN 46168-2773 | 2020-07-28 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1437651221 | Valle Vista LLC | Clinic/Center | 65 Airport Pkwy Ste 104, Greenwood, IN 46143-1439 | 2018-03-07 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1659879187 | Limestone Health, LLC | Clinic/Center | 4705 Meijer Ct, Lafayette, IN 47905-4684 | 2018-01-30 |
| 1902304447 | Limestone Health, LLC | Clinic/Center | 2100 S Liberty Dr Ste A, Bloomington, IN 47403-5147 | 2018-01-30 |
| 1134559917 | Center for Behavioral Health Indiana, Inc. | Clinic/Center | 3910 Lima Rd, Fort Wayne, IN 46805-1031 | 2013-11-15 |
| 1932732955 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1110 W 5th Ave, Gary, IN 46402-1723 | 2020-02-18 |
| 1386159176 | The Otis R Bowen Center for Human Services Inc | Clinic/Center | 1415 Directors Row, Fort Wayne, IN 46808-1297 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PREMIER CARE OF INDIANA, INC..
| 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.