ACTIVATE HEALTHCARE - MONROE CLINIC (NPI# 1811385925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811385925 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - MONROE CLINIC |
| Practice Address |
119 W 7th St Bloomington IN 47404-3926 |
| Mailing Address |
2010 N Damen Ave Suite F Chicago IL 60647-3284 |
| Practice Telephone | 8123234480 |
| Practice Fax Number | 8123234485 |
| 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 |
119 W 7TH ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235536335 | Roberta Fisher | Nurse Practitioner | 119 W 7th St, Bloomington, IN 47404-3926 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031118 | Clover Creek Medical | Clinic/Center | 175 North Main Street, Bloomington, ID 83223-8322 | 2017-09-08 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1063489805 | Healthspot | Clinic/Center | 3064 E 3rd St, Bloomington, IN 47401-5425 | 2006-03-01 |
| 1427569367 | Wellness for Life | Clinic/Center | 524 N Fairview St, Bloomington, IN 47404-3774 | 2017-10-18 |
| 1285060947 | Kellie Lyn Dunkin | Clinic/Center | 451 S Park Ridge Rd, Suite 101, Bloomington, IN 47401-8589 | 2013-09-25 |
| 1295005445 | Chestnut Health System, Inc | Clinic/Center | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2012-01-05 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1174706816 | Central Illinois Pediatric Associates LLC | Clinic/Center | 2427 Maloney Dr, Bloomington, IL 61704-3750 | 2007-12-17 |
| 1265614242 | Advacare Clinics,ltd | Clinic/Center | 5001 American Blvd W, Ste.945, Bloomington, MN 55437-1108 | 2007-11-30 |
| 1528108941 | Cook Family Health Center | Clinic/Center | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on ACTIVATE HEALTHCARE - MONROE CLINIC.
| 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.