Arc of Vigo County

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ARC OF VIGO COUNTY

Practice address

89 Cherry St
Terre Haute, IN 47807-2942

Phone

(812) 232-4112

Fax

(812) 232-3052

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Goldner

Title

Office Manager

Phone

(812) 232-4112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1235218959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CHERRY ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072942",
            "telephone_number": "812-232-4112",
            "fax_number": "812-232-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CHERRY ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072942",
            "telephone_number": "812-232-4112",
            "fax_number": "812-232-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF VIGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-232-4112"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.