Active NPI
Evansville Christian Life Center Inc
- Clinic/Center
- Evansville, IN
National Provider Identifier
1609321660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Evansville, IN
- NPI 1083227870
-
- Family Nurse Practitioner
- Evansville, IN
- NPI 1679057889
-
- Nurse Practitioner
- Evansville, IN
- NPI 1427118421
-
- Nurse Practitioner
- Evansville, IN
- NPI 1326106576
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
- Evansville Association for the Blind, Inc.
- Evansville Cancer Care PC
- Evansville Cancer Care, PC
- Evansville Chiropractic & Injury
- Evansville Chiropractic, LLC (Full Circle Health)
- Evansville Christian Life Center Inc
- Evansville Counseling Center, LLC
- Evansville Dental Associates (TriState Family Dnetal Centers)
- Evansville Endodontics
- Evansville Endodontics, Inc.
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.