NPIMap

Organization Active NPI

Healthspot

  • Primary Care Clinic/Center
  • Bloomington, IN
National Provider Identifier
1063489805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01029905 Issued in IN
Legal business name
HEALTHSPOT
Practice address
3064 E 3Rd St
Bloomington, IN 47401-5425
Phone
(812) 323-9800
NPI assigned
Mar 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Irving Cronkhite
Title
Medical Director
Phone
(812) 323-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01029905 IN Primary

Addresses

Primary practice location

3064 E 3Rd St
Bloomington, IN 47401-5425

Mailing address

PO Box 5235
Bloomington, IN 47407-5235

National Provider Directory

National Provider Directory
Tax ID family
Healthspot2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3064 E 3rd St
Bloomington, IN 47401
Phone (812) 323-9800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063489805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5235",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015425",
            "telephone_number": "812-323-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRONKHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-323-9800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01029905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.