Organization Active NPI

Madison Clinic

  • Multi-Specialty Clinic/Center
  • Madison, IN
National Provider Identifier
1699887349
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MADISON CLINIC
Practice address
722 W Main St
Madison, IN 47250-3105
Phone
(812) 265-0199
Fax
(812) 265-0570
NPI assigned
Aug 31, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mike Craig
Title
Patient Account Manager
Phone
(812) 265-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

722 W Main St
Madison, IN 47250-3105

Mailing address

PO Box 189
Madison, IN 47250-0189
Phone (812) 265-0199

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1699887349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472500189",
            "telephone_number": "812-265-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503105",
            "telephone_number": "812-265-0199",
            "fax_number": "812-265-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "812-265-0199"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.