C&J Family Health Care Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000776A Issued in IN

Legal business name

C&J FAMILY HEALTH CARE CLINIC, LLC

Practice address

11920 W State Road 10
Demotte, IN 46310-9755

Phone

(219) 345-5151

Fax

(219) 345-5252

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Frances Clark, APRN, FNPNPI 1689602468

Title

Owner

Phone

(219) 345-5151

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Frances Clark, APRN MSN FNP CS

  • Family Nurse Practitioner
  • Demotte, IN
  • NPI 1689602468
  NPD (past) Authorized official
• Karen M Wasnalas, FNP

  • Primary Care Nurse Practitioner
  • Hebron, IN
  • NPI 1972548972

  Family

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467563114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 W STATE ROAD 10",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109755",
            "telephone_number": "219-345-5151",
            "fax_number": "219-345-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 W STATE ROAD 10",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109755",
            "telephone_number": "219-345-5151",
            "fax_number": "219-345-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&J FAMILY HEALTH CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-345-5151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Bassett, RPH
• Katherine E Behrens, RBT
• Alexis Borgman
• Lawrence Brewerton
• Jill Brogdon, OTR
• Nikole Cain, RPH
• Calvary Assembly of God (Connection Medical Clinic)
• Care-Full Counseling LLC
• Lewis Glenn Carver, COTA
• Cassie Cox, M.S., CCC-SLP LLC

• Family Nurse Practitioner in Demotte, IN
• Providers in Demotte, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.