| Community Health Intervention And Education Foundation Incorporated | |
|
109 S Jefferson Street Rockville IN 47872-1717 | |
| (765) 569-4008 | |
| (765) 569-1917 |
| Full Name | Community Health Intervention And Education Foundation Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 109 S Jefferson Street, Rockville, Indiana |
| Authorized Official Name and Position | Bonnie S Waymire (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7655695537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Intervention And Education Foundation Incorporated 109 S Jefferson Street Rockville IN 47872-1717 Ph: (765) 569-4008 | Community Health Intervention And Education Foundation Incorporated 109 S Jefferson Street Rockville IN 47872-1717 Ph: (765) 569-4008 |
| NPI Number | 1245392539 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 4183675473 |
|---|---|
| Medicare Enrollment ID | O20050203000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245392539 | NPI | - | NPPES |
| 20063300 | Medicaid | IN | |
| 20063300A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
| Provider Name | Alexandrea M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619300753 PECOS PAC ID: 0840427126 Enrollment ID: I20131211001701 |
| Provider Name | Mary Elizabeth Ulrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588755078 PECOS PAC ID: 9032431028 Enrollment ID: I20141202001222 |
| Provider Name | Crystal J Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801102579 PECOS PAC ID: 0143455246 Enrollment ID: I20150116000808 |
| Provider Name | Chastity R Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780244970 PECOS PAC ID: 9931437159 Enrollment ID: I20190827001284 |
Valley Professionals Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 727 N. Lincoln Rd, Rockville, IN 47872 Phone: 765-569-1123 Fax: 765-569-6412 | |
Thomas D Nicholas Md Daniel J Dwyer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W High St, Rockville, IN 47872 Phone: 765-569-2057 Fax: 765-569-2340 | |
Parke Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Anderson St, Rockville, IN 47872 Phone: 765-569-3182 | |
Union Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 No. Lincoln Rd, Union Hospital Inc. D/b/a Rockville Family Medicine, Rockville, IN 47872 Phone: 765-569-1123 Fax: 765-569-6412 | |
Union Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 E Anderson St, Rockville, IN 47872 Phone: 765-569-3182 | |
Thomas D Nicholas Md Daniel J Dwyer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W High St, Rockville, IN 47872 Phone: 765-569-2057 Fax: 765-569-2340 |