Active NPI
Ambucare Clinic
- Family Medicine Physician
- Terre Haute, IN
National Provider Identifier
1013907922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01031160A
- Legal business name
- AMBUCARE CLINIC
- Practice address
- 3387 S US Highway 41
Terre Haute, IN 47802-3727 - Phone
- (812) 232-5532
- Fax
- (812) 232-2574
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Sappington, FNP
- Title
- Owner
- Phone
- (812) 232-5532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031160A | IN | Primary |
Addresses
Primary practice location
3387 S US Highway 41
Terre Haute, IN 47802-3727
Mailing address
3387 S US Highway 41
Terre Haute, IN 47802-3727
Phone (812) 232-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329000225 | IN | Part B Supplier - Clinic/Group Practice | 3476445081 |
Receives reassigned benefits from 12 practitioners Practice locations: Terre Haute, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0708269 | Ambucare Clinic South PC | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
3387 S US Highway 41
Terre Haute, IN 47802
Phone (812) 232-5532
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013907922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3387 S US HIGHWAY 41",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023727",
"telephone_number": "812-232-5532",
"fax_number": "812-232-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3387 S US HIGHWAY 41",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023727",
"telephone_number": "812-232-5532",
"fax_number": "812-232-2574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBUCARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAPPINGTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-232-5532",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01031160A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.