Organization Active NPI

Coordinated Health LLC

Doing business as Schneck Family Care of Washington County

  • Family Medicine Physician
  • Salem, IN
National Provider Identifier
1073766119
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COORDINATED HEALTH LLC
Doing business as
Schneck Family Care of Washington County
Practice address
403 S Main St
Suite 129
Salem, IN 47167-1323
Phone
(812) 523-5239
NPI assigned
Nov 3, 2008
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Deborah Mann
Title
VP Finance and Cfo/Treasurer
Phone
(812) 522-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

403 S Main St
Suite 129
Salem, IN 47167-1323

Mailing address

403 S Main St
Suite 129
Salem, IN 47167-1323
Phone (812) 523-5239

Other identifiers 1

IdentifierTypeStateIssuer
200375540DMedicaidIN

Other names 1

  • Schneck Family Care of Washington County Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1073766119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S MAIN ST",
            "address_2": "SUITE 129",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671323",
            "telephone_number": "812-523-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S MAIN ST",
            "address_2": "SUITE 129",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671323",
            "telephone_number": "812-523-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP FINANCE AND CFO/TREASURER",
        "authorized_official_telephone_number": "812-522-2349"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375540D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneck Family Care of Washington County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schneck Family Care of Washington County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.