Careatc - Indiana Packers Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAREATC - INDIANA PACKERS HEALTH CENTER

Practice address

1165 N US Highway 421
Delphi, IN 46923-8722

Phone

(765) 564-2880

NPI assigned

Sep 24, 2024

Organization subpart

Yes

Parent organization

CAREATCAs reported in NPPES

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

Authorized official

Name

Kelly Bender

Title

Sr. Director, Data & Analytics

Phone

(918) 779-7475

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Careatc - Indiana Packers Health Center117 organizations share this tax ID, including this one

Part of

Careatc - Indiana Packers Health Center

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Careatc

  • Primary Care Clinic/Center
  • Elkhart, IN
  • NPI 1982255667
  NPD tax ID
• Careatc - Evansville Clinic

  • Primary Care Clinic/Center
  • Evansville, IN
  • NPI 1295289601
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Careatc

  • Primary Care Clinic/Center
  • Elkhart, IN
  • NPI 1982255667
  NPPES parent name

Practitioners 4

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

• Crystal Alaniz, FNP-BC

  • Primary Care Nurse Practitioner
  • Monticello, IN
  • NPI 1508569088
  NPD (past)
• Lorraine Dougherty, FNP

  • Family Nurse Practitioner
  • Delphi, IN
  • NPI 1598934978
  NPD (past)
• Paula Jean Lowe, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1023291325
  NPD (past)
• Bridget Swing, FNP-C

  • Family Nurse Practitioner
  • Delphi, IN
  • NPI 1942726732
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1316764012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N US HIGHWAY 421",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238722",
            "telephone_number": "765-564-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC - INDIANA PACKERS HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREATC",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SR. DIRECTOR, DATA & ANALYTICS",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald W Bishop Sr., LCSW
• Jennifer A Boget, FNP
• Thomas Steven Brodar, D.C., L.C.P.
• Rose Mae Broughton, MD
• Sandra Kay Bushman, CFNP
• Carroll County Health Department
• Larrissa Christian
• Valerie Marion Colby, OD
• Deborah Cover
• Courtney E Crilow

• Family Medicine Physician in Delphi, IN
• Providers in Delphi, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.