Primary Care Medical Home

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PRIMARY CARE MEDICAL HOME

Practice address

1089 3Rd Ave SW
Carmel, IN 46032-7584

Phone

(317) 410-9119

NPI assigned

May 5, 2010

Last updated

May 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Kent Ehmke

Title

Ceo/ Owner

Phone

(317) 410-9119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1679891360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 3RD AVE SW",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327584",
            "telephone_number": "317-410-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 3RD AVE SW",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327584",
            "telephone_number": "317-410-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "EHMKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "317-410-9119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Community Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.