Manchester Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MANCHESTER CLINIC, LLC

Practice address

1104 N Wayne St
North Manchester, IN 46962-1001

Phone

(260) 982-2102

NPI assigned

Nov 20, 2006

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betty J McLain

Title

Office Manager

Phone

(260) 982-2102

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Paul H. Fry-Miller, PA-C

  • Physician Assistant
  • North Manchester, IN
  • NPI 1285613919
  NPD (past)
• Pamela S Higgins, MD

  • Family Medicine Physician
  • N Manchester, IN
  • NPI 1134108541
  NPD (past)
• Regan M Andrade, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1851370266
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1265506596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469620030",
            "telephone_number": "260-982-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N WAYNE ST",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469621001",
            "telephone_number": "260-982-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-982-2102"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Harman D.C., LLC (Manchester Family Chiropractic)
• Patricia Lynn Jones, MSTOM, LAC, PHARMD
• Beth Lisa Kaskel, DNP, MSN, A-GNP-C
• Michaela Lassa, LAC
• Lifemed, Inc.
• Manchester Community Schools
• Manchester Eyecare LLC
• Manchester Family Dentistry, PC
• Alison Dael Matheny, PHARMD
• Midwest Eye Consultants, P.C. (Midwest Eye Consultants #19)

• Primary Care Clinic/Center in North Manchester, IN
• Providers in North Manchester, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.