Active NPI
Echo Community Health Care Inc
- Federally Qualified Health Center (FQHC)
- Evansville, IN
National Provider Identifier
1295040160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ECHO COMMUNITY HEALTH CARE INC
- Practice address
- 410 Mulberry St
Evansville, IN 47713-1231 - Phone
- (812) 421-7489
- Fax
- (812) 421-7497
- NPI assigned
- Aug 16, 2010
- Organization subpart
- Yes
- Parent organization
- ECHO COMMUNITY HEALTH CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandee Strader-McMillen
- Title
- Ceo
- Phone
- (812) 421-7489
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
410 Mulberry St
Evansville, IN 47713-1231
Mailing address
315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200079040F | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040721001319 | IN | Part B Supplier - Clinic/Group Practice | 4981515145 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Evansville, IN |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1063805216
O20040721001319
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1467483255
O20040721001319
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1700816683
O20040721001319
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1770875973
O20040721001319
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1912906850
O20040721001319
National Provider Directory
National Provider Directory- Part of
- Echo Community Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395100800000",
"number": "1295040160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489",
"fax_number": "812-421-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131231",
"telephone_number": "812-421-7489",
"fax_number": "812-421-7497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECHO COMMUNITY HEALTH CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ECHO COMMUNITY HEALTH CARE INC",
"enumeration_date": "2010-08-16",
"last_updated": "2014-03-18",
"status": "A",
"authorized_official_last_name": "STRADER-MCMILLEN",
"authorized_official_first_name": "SANDEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-421-7489",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200079040F",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.