Clinical Services, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

71000514A Issued in IN

Legal business name

CLINICAL SERVICES, LLC

Practice address

2315 Broadway
Fort Wayne, IN 46807-1103

Phone

(260) 458-8414

Fax

(260) 458-8414

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Rosie T. Milner, N.P.NPI 1831252592

Title

President

Phone

(260) 458-8414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosie T Milner, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1831252592
  Medicare reassignment Care Compare group Authorized official
• Dinorah Rene Milner, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1679736367
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1770725244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071103",
            "telephone_number": "260-458-8414",
            "fax_number": "260-458-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071103",
            "telephone_number": "260-458-8414",
            "fax_number": "260-458-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-458-8414",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "71000514A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Clickovich, DPT
• Jessica Clifford
• Lauren Cliffton, PTA
• Alison Paige Clingenpeel, MA
• Clinical & Forensic Psychological Services of Indiana, P.C.
• Benjamin Clinkenbeard, DDS
• Melissa Clopton
• Shylisha Clopton
• Taneka Clopton, RBT
• Jonathon Closson

• Primary Care Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.