Organization Active NPI

Procare Healthspot, LLC

  • Corporate Health Clinic/Center
  • Evansville, IN
National Provider Identifier
1346881612
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
PROCARE HEALTHSPOT, LLC
Practice address
1016 E Columbia St
Evansville, IN 47711-5270
Phone
(812) 435-1751
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVEHEALTH OF INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Tammy Feldpausch
Title
Director
Phone
(812) 491-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X NU Primary

Addresses

Primary practice location

1016 E Columbia St
Evansville, IN 47711-5270

Mailing address

150 N Rosenberger Ave
Evansville, IN 47712-6503

Other names 1

  • ProCare HealthSpot - Red Spot' Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2175905Procare Healthspot - Redspot1016 E Columbia St, Evansville, IN 47711Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Procare Healthspot LLC6 organizations share this tax ID, including this one
Part of
Procare Healthspot LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1016 E Columbia St
Evansville, IN 47711
Phone (812) 435-1751

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1346881612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROSENBERGER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115270",
            "telephone_number": "812-435-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HEALTHSPOT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVEHEALTH OF INDIANA, LLC",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "FELDPAUSCH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-491-3856"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare HealthSpot - Red Spot'",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 8, 2019; 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.