Organization Active NPI

Evansville Christian Life Center Inc

  • Clinic/Center
  • Evansville, IN
National Provider Identifier
1609321660
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVANSVILLE CHRISTIAN LIFE CENTER INC
Practice address
265 Bellemeade Ave
Evansville, IN 47713-1775
Phone
(812) 426-6152
Fax
(812) 426-6160
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Katie Merrick Grunow
Title
Executive Director
Phone
(812) 423-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

265 Bellemeade Ave
Evansville, IN 47713-1775

Mailing address

509 S Kentucky Ave
Evansville, IN 47714-1091
Phone (812) 423-9222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1609321660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S KENTUCKY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141091",
            "telephone_number": "812-423-9222",
            "fax_number": "812-428-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131775",
            "telephone_number": "812-426-6152",
            "fax_number": "812-426-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE CHRISTIAN LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "GRUNOW",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MERRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-423-9222"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2025; 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.