Evansville Christian Life Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0005058783 Issued in IN

Legal business name

EVANSVILLE CHRISTIAN LIFE CENTER INC

Practice address

265 Bellemeade Ave
Evansville, IN 47713-1775

Phone

(812) 426-6152

Fax

(812) 426-6160

NPI assigned

Nov 27, 2006

Last updated

Oct 15, 2025By 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

Katie Merrick Grunow

Title

Executive Director

Phone

(812) 423-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Raven Nicole Pirtle, APRN

  • Family Nurse Practitioner
  • Evansville, IN
  • NPI 1083227870
  NPD
• John Michael Burnley, MD

  • Emergency Medicine Physician
  • Evansville, IN
  • NPI 1295839835
  NPD (past)
• James E Jenison, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1174511356
  NPD (past)
• Terry A South, M.D.

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1801865472
  NPD (past)
• Gregory R. Toothman, M.D.

  • Family Medicine Physician
  • Newburgh, IN
  • NPI 1538162920
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1689740375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S KENTUCKY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141091",
            "telephone_number": "812-423-9222",
            "fax_number": "812-428-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131775",
            "telephone_number": "812-426-6152",
            "fax_number": "812-426-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE CHRISTIAN LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "GRUNOW",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MERRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-423-9222"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IN",
            "license": "0005058783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evansville Cancer Care PC
• Evansville Cancer Care, PC
• Evansville Chiropractic & Injury
• Evansville Chiropractic, LLC (Full Circle Health)
• Evansville Christian Life Center Inc
• Evansville Counseling Center, LLC
• Evansville Dental Associates (TriState Family Dnetal Centers)
• Evansville Endodontics
• Evansville Endodontics, Inc.
• Evansville Eyecare Associates, Inc.

• Health Service Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.