Active NPI
Procare Rehab and Wound Solutions Prof Corp
- Primary Care Clinic/Center
- Washington, IN
National Provider Identifier
1629406111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 71000903
- Legal business name
- PROCARE REHAB AND WOUND SOLUTIONS PROF CORP
- Practice address
- 1110 E Main St
Washington, IN 47501-3031 - Phone
- (812) 254-6420
- NPI assigned
- Oct 22, 2013
- 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
- Linda Obaseki
- Title
- Practice Manager
- Phone
- (812) 254-6420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 71000903 | IN | Primary |
Addresses
Primary practice location
1110 E Main St
Washington, IN 47501-3031
Mailing address
PO Box 2337
Washington, IN 47501-0977
Phone (812) 254-6420
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382400000000",
"number": "1629406111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2337",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010977",
"telephone_number": "812-254-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E MAIN ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475013031",
"telephone_number": "812-254-6420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCARE REHAB AND WOUND SOLUTIONS PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A",
"authorized_official_last_name": "OBASEKI",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "812-254-6420"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IN",
"license": "71000903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.