Bridgeance Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BRIDGEANCE CORP

Practice address

801 S West St
Executive Center Suite 123
Olney, IL 62450-1334

Phone

(812) 287-3946

NPI assigned

Jul 9, 2012

Organization subpart

No

Name

Daniel Downen

Title

Ceo/Pres

Phone

(812) 887-3946

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marbie Downen, MT

  • Medical Technologist
  • Olney, IL
  • NPI 1093070880
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2012.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1083979876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WEST ST",
            "address_2": "EXECUTIVE CENTER SUITE 123",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WEST ST",
            "address_2": "EXECUTIVE CENTER SUITE 123",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501334",
            "telephone_number": "812-287-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DOWNEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/PRES",
        "authorized_official_telephone_number": "812-887-3946"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bower, PHARMD
• Bowers Drug Store Inc
• Marlissa Boyles, FNP
• Brad McMillin, Inc
• Bradley Houston M.D.
• Herbert Herman Brokhof, D.D.S.
• Brookstone Estates of Olney
• Brookstone of Emerald Glen of Olney, LLC
• Daniel Joseph Brown, OD
• Madison Bruce, BSW

• All providers in Olney, IL
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.