Boone County Community Health Clinic, Inc in Lebanon - Community Health
Boone County Community Health Clinic, Inc - NPI 1962681734
Boone County Community Health Clinic, Inc is a Community Health in Lebanon, Indiana. Boone County Community Health Clinic, Inc practices all healthcare services and medical treatments related to Community Health. The NPI Number for Boone County Community Health Clinic, Inc is 1962681734. The last update date is 2014-02-04.
Boone County Community Health Clinic, Inc's current location address is 416 W Camp St, Lebanon, Indiana. You can contact this provider via phone number 7654834469. The mailing address for Boone County Community Health Clinic, Inc is 416 W Camp St, Lebanon, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boone County Community Health Clinic, Inc |
|---|---|
| Address | 416 W Camp St, Lebanon, Indiana |
| Phone Number | 7654834469 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcquade-Jones Bambi |
| Credentials | DNP, FNP-C |
| Telephone Number | 7654834469 |
NPI Number Detail
| NPI Number | 1962681734 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 416 W Camp St |
|---|---|
| City | Lebanon |
| State | Indiana (IN) |
| Post Code | 460521799 |
| Phone Number | 7654834469 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 71000784B |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100063430 | IN | -- | |
| 200401120A | IN | -- | |
| 200432840 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Boone County Community Health Clinic, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Boone County Community Health Clinic, Inc has been assigned the NPI (National Provider Identifier) 1962681734. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Boone County Community Health Clinic, Inc is geographically located?
The Boone County Community Health Clinic, Inc is physically situated at the following location: 416 W Camp St, Lebanon, IN, 460521799.
What is Boone County Community Health Clinic, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boone County Community Health Clinic, Inc's area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qc1500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962681734 to Boone County Community Health Clinic, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1962681734 to Boone County Community Health Clinic, Inc on 2007-10-30.
As of what date was the information pertaining to Boone County Community Health Clinic, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Boone County Community Health Clinic, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-04.