NPIMap

Organization Active NPI

Cardinal Health Partners, LLC

Doing business as Liberty Corner Health and Diagnostic Center

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1801827696
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARDINAL HEALTH PARTNERS, LLC
Doing business as
Liberty Corner Health and Diagnostic Center
Practice address
4870 E Jackson St
Muncie, IN 47303-4432
Phone
(765) 284-7277
Fax
(765) 284-7472
NPI assigned
Jul 6, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jan Vangets
Title
Coo Physician Network Services
Phone
(765) 751-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4870 E Jackson St
Muncie, IN 47303-4432

Mailing address

4870 E Jackson St
Muncie, IN 47303-4432
Phone (765) 284-7277

Other identifiers 1

IdentifierTypeStateIssuer
100384610FMedicaidIN

Other names 1

  • Liberty Corner Health and Diagnostic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Partners LL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1801827696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-284-7277",
            "fax_number": "765-284-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-284-7277",
            "fax_number": "765-284-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VANGETS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COO PHYSICIAN NETWORK SERVICES",
        "authorized_official_telephone_number": "765-751-3311"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384610F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Corner Health and Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.