Organization Active NPI

Outreach Advocacy Center Inc.

  • Community Health Clinic/Center
  • Lafayette, IN
National Provider Identifier
1811718471
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
OUTREACH ADVOCACY CENTER INC.
Practice address
2300 Ferry St Ste B
Lafayette, IN 47904-3060
Phone
(765) 237-8894
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Paige Logan
Title
Executive Director
Phone
(765) 237-8894

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Voluntary or Charitable Agency 251V00000X
Community Health Clinic/Center 261QC1500X Primary
Family Medicine Physician 207Q00000X
Community/Behavioral Health Agency 251S00000X
Addiction Medicine (Preventive Medicine) Physician 2083A0300X

Addresses

Primary practice location

2300 Ferry St Ste B
Lafayette, IN 47904-3060

Mailing address

2300 Ferry St Ste B
Lafayette, IN 47904-3060
Phone (765) 237-8894

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2317638Outreach Advocacy Center Inc2300 Ferry Street Ste B, Lafayette, IN 47904Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

Locations

2300 Ferry St
Ste B
Lafayette, IN 47904
Phone (765) 237-8894

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1811718471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FERRY ST STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043060",
            "telephone_number": "765-237-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FERRY ST STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043060",
            "telephone_number": "765-237-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH ADVOCACY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-237-8894"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.