St Clare Health Network

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST CLARE HEALTH NETWORK

Practice address

2056 Lebanon Rd
Crawfordsville, IN 47933-2143

Phone

(765) 361-9923

NPI assigned

Nov 17, 2006

Organization subpart

Yes

Parent organization

ST CLARE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Jim Siemers

Title

Executive Director

Phone

(765) 362-2800

Specialties & licenses 1

Addresses

Other names 1

• Eastside Family Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

St Clare Medical Center

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1609940105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 LEBANON RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332143",
            "telephone_number": "765-361-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLARE MEDICAL CENTER",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "SIEMERS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-362-2800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca D Sprague, LCSW
• Elizabeth Spurgeon, RBT
• Nichole Spurr, RBT
• St Clare Health Network
• St Clare Health Network
• St Clare Health Network
• St Clare Health Network
• St Clare Medical Center
• St. Clare Medical Center
• St. Clare Medical Center

• Family Medicine Physician in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.