Coordinated Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COORDINATED HEALTH LLC

Practice address

2145 N. State Hwy 3
North Vernon, IN 47265-7486

Phone

(812) 346-6010

Fax

(812) 346-6585

NPI assigned

Nov 28, 2005

Organization subpart

Yes

Parent organization

COORDINATED HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Deborah Mann

Title

VP Finance and Cfo/Treasurer

Phone

(812) 522-2349

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schneck Family Care of Jennings County Doing business as

Part of

Coordinated HLTH LLC

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1316920002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N. STATE HWY 3",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657486",
            "telephone_number": "812-346-6010",
            "fax_number": "812-346-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 N. STATE HWY 3",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657486",
            "telephone_number": "812-346-6010",
            "fax_number": "812-346-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COORDINATED HEALTH LLC",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP FINANCE AND CFO/TREASURER",
        "authorized_official_telephone_number": "812-522-2349"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneck Family Care of Jennings County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schneck Family Care of Jennings County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William D Burnett, O.D.
• Louis J Calli Jr., M.D.
• Benjamin Charek, DMD
• Kathy Compton, LCSW
• Katherine Conover, FNP
• Melissa J Croucher, NP
• Robert E Dailey, PSY.D., H.S.P.P.
• Christy Decker, PTA
• Stacy Dickenson
• Linda L Dickerson, SLP

• Family Medicine Physician in North Vernon, IN
• Providers in North Vernon, 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 Nov 21, 2019; 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.