Organization Active NPI

Parke Clinic PC

  • Clinical Medical Laboratory
  • Rockville, IN
National Provider Identifier
1376698183
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKE CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
John Franklin Swaim, M.D.NPI 1760570774
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100283250MedicaidIN

Other names 1

  • Parke Clinic Laboratory 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
15D0362123Umg Parke Clinic503 East Anderson St, Rockville, IN 47872Certificate of waiverJun 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.

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.

Verify at the official NPI Registry.