NPIMap

Organization Active NPI

Henry County Urgent Care LLC

  • Family Medicine Physician
  • New Castle, IN
National Provider Identifier
1811074982
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENRY COUNTY URGENT CARE LLC
Practice address
113 South Memorial Drive
New Castle, IN 47362-4947
Phone
(765) 521-1366
Fax
(765) 521-1555
NPI assigned
Nov 1, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mr. Paul F Janssen
Title
President
Phone
(765) 521-1508

Specialties & licenses 1

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

Addresses

Primary practice location

113 South Memorial Drive
New Castle, IN 47362-4947

Mailing address

PO Box 337
New Castle, IN 47362-0337
Phone (765) 521-1366

Other identifiers 2

IdentifierTypeStateIssuer
000000224292OtherINANTHEM
200406810AMedicaidIN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

113 S Memorial Dr
New Castle, IN 47362
Phone (765) 599-2754

Practitioners & affiliated clinicians

Practitioners 9

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1811074982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620337",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTH MEMORIAL DRIVE",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624947",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-521-1508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000224292",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.