PACE COMMUNITY ACTION AGENCY, INC. (NPI# 1962575423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962575423 |
| Entity Type | Organization |
| Organization Name | PACE COMMUNITY ACTION AGENCY, INC. |
| Practice Address |
715 Wabash Ave Vincennes IN 47591-3216 |
| Mailing Address |
525 N 4th St Vincennes IN 47591-1444 |
| Practice Telephone | 8128826069 |
| Practice Fax Number | 8128865307 |
| Mailing Telephone | 8128826069 |
| Mailing Fax Number | 8128865307 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MRS. BERTHA AKIDA PROCTOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8128827927 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100155290A | 05 |
| Street Address |
715 WABASH AVE |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558753152 | Pamela Cornwell | Nurse Practitioner | 715 Wabash Ave, Vincennes, IN 47591-3216 | 2015-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891344 | Healthy Communities of Clinton County Inc | Clinic/Center | 1458 Oak St Ste B, Frankfort, IN 46041-3380 | 2020-01-30 |
| 1740305200 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 645 W Morgan St, Spencer, IN 47460-1133 | 2007-03-20 |
| 1295800084 | Dubois-pike-warrick Economic Opportunity Committee, Inc. | Clinic/Center | 607 3rd Ave, Jasper, IN 47546-3636 | 2006-11-21 |
| 1376092320 | Quadmedical | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2016-09-30 |
| 1972996247 | Northern Indiana Mch Network | Clinic/Center | 244 S Olive St, South Bend, IN 46619-2100 | 2015-03-11 |
| 1063713154 | Futures Family Planning Clinic | Clinic/Center | 338 S Walnut St, Bloomington, IN 47401-3500 | 2010-11-05 |
| 1962697284 | Monroe County Government | Clinic/Center | 338 S Walnut St, Bloomington, IN 47401-3500 | 2007-09-10 |
| 1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
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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.