ACTIVATE HEALTHCARE - SEYMOUR TUBING CLINIC (NPI# 1639567746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639567746 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - SEYMOUR TUBING CLINIC |
| Practice Address |
1240 E 4th Street Rd Seymour IN 47274-1995 |
| Mailing Address |
2010 N Damen Ave Suite F Chicago IL 60647-3284 |
| Practice Telephone | 8125225730 |
| Practice Fax Number | 8125226328 |
| Mailing Telephone | 7736973144 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
| Authorized Official Telephone | 7736973144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1240 E 4TH STREET RD |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720476831 | Activate Healthcare - Seymour Schools Clinic | Clinic/Center | 1431 Corporate Way, Seymour, IN 47274-3391 | 2014-12-26 |
| 1043357726 | Renaissance Medical Spa, LLC | Clinic/Center | 1414 E Tipton St, Seymour, IN 47274-3533 | 2007-01-31 |
| 1871991976 | Activate Healthcare - Aisin Clinic | Clinic/Center | 1414 E Tipton St, Seymour, IN 47274-3533 | 2014-12-05 |
| 1790980977 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 11616 Chapman Hwy, Seymour, TN 37865-5046 | 2007-06-18 |
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|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 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.