Active NPI
Coordinated Health LLC
Doing business as Schneck Family Care of Washington County
- Family Medicine Physician
- Salem, IN
National Provider Identifier
1073766119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2019
- 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
- Deborah Mann
- Title
- VP Finance and Cfo/Treasurer
- Phone
- (812) 522-2349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200375540D | Medicaid | IN |
Other names 1
- Schneck Family Care of Washington County
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Seymour, IN
- NPI 1750632949
-
- Physical Therapist
- Seymour, IN
- NPI 1558995977
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
- Jerald David Cleek, PHARMD
- Sharon L Coleman, APRN
- Kristine Colvin, FNP-C
- Complete Clarity LLC
- Complete Family Healthcare Heather Johnston LLC
- Critical Access Health Services Corp. (Washington County Memorial Hospital)
- Carrie Anne Crowder, MS, SLP
- Fredrick Cullison
- Kortney Nicole Curtis
- Daniel R Anderson MD PC
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.