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NPI Code Detail

MEDICARE: ECHO COMMUNITY HEALTH CARE, INC.

MEDICARE: ECHO COMMUNITY HEALTH CARE, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)IN

Other Identifiers

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

General Provider Information

NPI Number : 1912906850
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECHO COMMUNITY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7497
Provider Business Practice Location Address
First Line : 315 MULBERRY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-421-7497
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SANDEE E STRADER-MCMILLEN
Credential :
Telephone Number : 812-421-7489
Provider Enumeration Date : 07/20/2005
Last Update Date : 08/08/2016

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1689625071 — ALAN GLEN SWARTZ APRN BC
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Directions to “ECHO COMMUNITY HEALTH CARE, INC. ” Practice Location

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