Active NPI
Parke Clinic PC
- Clinical Medical Laboratory
- Rockville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PARKE CLINIC PC
- Practice address
- 503 Anderson St
Rockville, IN 47872-1008 - Phone
- (765) 569-3182
- Fax
- (765) 569-2950
- NPI assigned
- Jan 24, 2007
- Last updated
- May 22, 2014
- Organization subpart
- Yes
- Parent organization
- PARKE CLINIC PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Franklin Swaim, M.D.
- Title
- President
- Phone
- (765) 832-9301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
503 Anderson St
Rockville, IN 47872-1008
Mailing address
PO Box 266
Clinton, IN 47842-0266
Phone (765) 832-9301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100283250 | Medicaid | IN |
Other names 1
- Parke Clinic Laboratory
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0362123 | Umg Parke Clinic | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider Directory- Part of
- Parke Clinic South
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Rockville, IN
- NPI 1760570774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400716800000",
"number": "1376698183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 266",
"city": "CLINTON",
"state": "IN",
"postal_code": "478420266",
"telephone_number": "765-832-9301",
"fax_number": "765-832-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 ANDERSON ST",
"city": "ROCKVILLE",
"state": "IN",
"postal_code": "478721008",
"telephone_number": "765-569-3182",
"fax_number": "765-569-2950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKE CLINIC PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARKE CLINIC PC",
"enumeration_date": "2007-01-24",
"last_updated": "2014-05-22",
"status": "A",
"authorized_official_last_name": "SWAIM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-832-9301",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100283250",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parke Clinic Laboratory",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.