| Ambucare Clinic | |
|
3387 S Us Highway 41 Terre Haute IN 47802-3727 | |
| (812) 232-5532 | |
| (812) 232-2574 |
| Full Name | Ambucare Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3387 S Us Highway 41, Terre Haute, Indiana |
| Authorized Official Name and Position | Stephen Sappington (OWNER) |
| Authorized Official Contact | 8122325532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambucare Clinic 3387 S Us Highway 41 Terre Haute IN 47802-3727 Ph: (812) 232-5532 | Ambucare Clinic 3387 S Us Highway 41 Terre Haute IN 47802-3727 Ph: (812) 232-5532 |
| NPI Number | 1013907922 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476445081 |
|---|---|
| Medicare Enrollment ID | O20040329000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013907922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01031160A (Indiana) | Primary |
| Provider Name | Brenda Seibold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952499956 PECOS PAC ID: 0345344990 Enrollment ID: I20070409000484 |
| Provider Name | Windy L Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467615427 PECOS PAC ID: 0941374755 Enrollment ID: I20080728000590 |
| Provider Name | Stephen Sappington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386866580 PECOS PAC ID: 6901798511 Enrollment ID: I20081229000134 |
| Provider Name | Pamela Fay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588840052 PECOS PAC ID: 4486703741 Enrollment ID: I20090518000225 |
| Provider Name | Michael R Rader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487618179 PECOS PAC ID: 6800927039 Enrollment ID: I20100701000336 |
| Provider Name | Howard Claire Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836218 PECOS PAC ID: 3678605961 Enrollment ID: I20100722000318 |
| Provider Name | Kenneth F Kirkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740305143 PECOS PAC ID: 9436337334 Enrollment ID: I20110623000634 |
| Provider Name | Brandie D Ruark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366721060 PECOS PAC ID: 9638340839 Enrollment ID: I20110920000405 |
| Provider Name | Kathleen M Pirtle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770823387 PECOS PAC ID: 8426287418 Enrollment ID: I20140218000177 |
| Provider Name | Lisa E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686868 PECOS PAC ID: 2264664853 Enrollment ID: I20140414001419 |
| Provider Name | Paul Matthew Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921833 PECOS PAC ID: 7618214586 Enrollment ID: I20190130002537 |
| Provider Name | Robert Ealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720664048 PECOS PAC ID: 2567879158 Enrollment ID: I20210326000976 |
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