NPIMap

Organization Active NPI

Winslow Medical Center, Inc

  • Family Medicine Physician
  • Winslow, IN
National Provider Identifier
1619064268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WINSLOW MEDICAL CENTER, INC
Practice address
2206 S State Road 61
Winslow, IN 47598-8331
Phone
(812) 789-8880
Fax
(812) 789-8883
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Karen R. Brossman, FNP-C
Title
Assistant Medical Director
Phone
(812) 789-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2206 S State Road 61
Winslow, IN 47598-8331

Mailing address

PO Box 70
Winslow, IN 47598-0070
Phone (812) 789-8880

National Provider Directory

National Provider Directory
Tax ID family
Kingwood Urgent Care and Special Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2206 S State Road 61
Winslow, IN 47598
Phone (812) 789-2603

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619064268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WINSLOW",
            "state": "IN",
            "postal_code": "475980070",
            "telephone_number": "812-789-8880",
            "fax_number": "812-789-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 S STATE ROAD 61",
            "city": "WINSLOW",
            "state": "IN",
            "postal_code": "475988331",
            "telephone_number": "812-789-8880",
            "fax_number": "812-789-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROSSMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ASSISTANT MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-789-8880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, IN

Sources for this page

  • 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.