Organization Active NPI

Procare Rehab and Wound Solutions Prof Corp

  • Primary Care Clinic/Center
  • Washington, IN
National Provider Identifier
1629406111
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
71000903 Issued in IN
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

Updated by the provider on Oct 22, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.