MEDICARE: OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	01039780A	IN
2	363LF0000X	Family Nurse Practitioner	71000903A	IN
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	01027289	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871706143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP.

Provider Business Mailing Address
First Line	:	1110 E MAIN ST
Second Line	:
City	:	WASHINGTON
State	:	IN
Zip	:	47501-3031
Country	:	US
Telephone Number	:	812-254-2311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 E MAIN ST
Second Line	:
City	:	WASHINGTON
State	:	IN
Zip	:	47501-3031
Country	:	US
Telephone Number	:	812-254-2311
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	LINDA KAY OBASEKI
Credential	:
Telephone Number	:	812-254-2311

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1871661546 — MR. ART O OBASEKI MSN, FNP
Practice Location Address:

1110 E MAIN ST
WASHINGTON, IN
47501-3031

Practice Phone: 812-254-2311
Practice Fax: 812-254-2322

1629406111 — PROCARE REHAB AND WOUND SOLUTIONS PROF CORP
Practice Location Address:

1110 E MAIN ST
WASHINGTON, IN
47501-3031

Practice Phone: 812-254-6420
Practice Fax:

1285636423 — KIRSTEN D PETERSON MD
Practice Location Address:

407 WASHINGTON AVE E
FINLEY, ND
58230-3031

Practice Phone: 701-524-1005
Practice Fax:

1255421715 — RONALD K. ALLEN D.D.S.,M.S.D.
Practice Location Address:

9524 E. WASHINGTON STREET
INDIANAPOLIS, IN
46229-3031

Practice Phone: 317-898-2311
Practice Fax: 317-869-0106

1245435007 — TARA K. PULLEN LCSW
Practice Location Address:

4 WASHINGTON ST , SUITE 300
SANFORD, ME
04073-3031

Practice Phone: 207-318-4831
Practice Fax:

1699022806 — MS. SHAQUAN HUDSON HOME HEALTH AIDE
Practice Location Address:

3031 15TH ST NW
WASHINGTON, DC
20009-4211

Practice Phone: 201-735-7303
Practice Fax:

Directions to “OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.