BOONE COUNTY COMMUNITY HEALTH CLINIC, INC (NPI# 1962681734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962681734 |
| Entity Type | Organization |
| Organization Name | BOONE COUNTY COMMUNITY HEALTH CLINIC, INC |
| Practice Address |
416 W Camp St Lebanon IN 46052-1799 |
| Practice Telephone | 7654834469 |
| Mailing Telephone | 7654834469 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | MRS. BAMBI MCQUADE-JONES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7654834469 |
| Authorized Official Credential | DNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
71000784B | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200401120A | 05 | |
| IN | 200432840 | 05 | |
| IN | 100063430 | 05 |
| Street Address |
416 W CAMP ST |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548390842 | Bambi S Mcquade-jones | Nurse Practitioner | 416 W Camp St, Lebanon, IN 46052-1799 | 2007-03-06 |
| 1396257903 | Allison Laine Bauer | Nurse Practitioner | 416 W Camp St, Lebanon, IN 46052-1799 | 2017-11-05 |
| 1912258302 | Lacey Hamilton | Nurse Practitioner | 416 W Camp St, Lebanon, IN 46052-1799 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1508262916 | Neighborhood Health Clinics, Inc | Clinic/Center | 3350 E Paulding Rd, Fort Wayne, IN 46816-4513 | 2014-11-12 |
| 1861826257 | Montgomery County Free Clinic, Inc | Clinic/Center | 816 Mill St, Crawfordsville, IN 47933-3443 | 2013-08-21 |
| 1750680963 | Care Now Clinics, LLC | Clinic/Center | 11021 Brave Ct, Indianapolis, IN 46236-8237 | 2011-03-28 |
| 1679891360 | Primary Care Medical Home | Clinic/Center | 1089 3rd Ave Sw, Carmel, IN 46032-7584 | 2010-05-05 |
| 1275660888 | Gregory Neil Larkin | Clinic/Center | 704 N Park Ave, Indianapolis, IN 46202-3431 | 2007-02-28 |
| 1831274737 | Wishard Health Services | Clinic/Center | 1002 W. 10th Street, Indianapolis, IN 46202 | 2006-10-26 |
| 1952332298 | Community Healthnet Inc | Clinic/Center | 1021 West 5th Avenue, Gary, IN 46402-1703 | 2006-07-05 |
| 1316561475 | Center for Healing and Hope | Clinic/Center | 902 S Main St, Goshen, IN 46526-4339 | 2020-06-04 |
| 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.