Active NPI
Outreach Advocacy Center Inc.
- Community Health Clinic/Center
- Lafayette, IN
National Provider Identifier
1811718471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2317638 | Outreach Advocacy Center Inc | Certificate of waiver | Jan 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.