COMMUNITY HELATH CENTER OF JACKSON COUNTY (NPI# 1972675270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675270 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HELATH CENTER OF JACKSON COUNTY |
| Other Organization Name | INDIANA HEALTH CENTERS SEYMOUR |
| Practice Address |
113 N Chestnut St Seymour IN 47274-2176 |
| Practice Telephone | 8125248388 |
| Practice Fax Number | 8125248445 |
| Mailing Telephone | 8125248388 |
| Mailing Fax Number | 8125248445 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHIL BURGAN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 3175761335 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Indiana Health Centers Seymour | Other Name - Individual/Organization |
| Street Address |
113 N CHESTNUT ST |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629576004 | Debra L Harmon | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2018-01-31 |
| 1902192198 | Hannah Cher Jamlig Samonte | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2011-06-26 |
| 1053623587 | Julie Elizabeth Kern-anderson | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2010-07-13 |
| 1508094665 | Ma Rosario S Dejesus | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2009-06-29 |
| 1992978860 | Helen Bishara | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2008-04-10 |
| 1164691135 | Lisa Hoffhaus | Family Medicine | 113 N Chestnut St, Seymour, IN 47274-2176 | 2008-02-25 |
| 1639386261 | Dian S Wright | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2007-05-16 |
| 1134227689 | Indiana Health Centers, Inc. | Dentist | 113 N Chestnut St, Seymour, IN 47274-2176 | 2006-09-20 |
| 1295846798 | Debra Schroer | Nurse Practitioner | 113 N Chestnut St, Seymour, IN 47274-2176 | 2006-08-31 |
| 1588655294 | Jane A. Pardieck | Pediatrics | 113 N Chestnut St, Seymour, IN 47274-2176 | 2005-11-02 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.