Organization Active NPI

Reliant Healthcare LLC

  • Internal Medicine Physician
  • Hartford City, IN
National Provider Identifier
1861763690
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RELIANT HEALTHCARE LLC
Practice address
124 N Jefferson St
Hartford City, IN 47348-2201
Phone
(765) 347-8279
NPI assigned
Jan 25, 2012
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Jennifer L Clamme, M.D.
Title
Member
Phone
(765) 347-8279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

124 N Jefferson St
Hartford City, IN 47348-2201

Mailing address

124 N Jefferson St
Hartford City, IN 47348-2201
Phone (765) 347-8279

National Provider Directory

National Provider Directory

Locations

124 N Jefferson St
Hartford City, IN 47348
Phone (765) 347-8279

1564 University Blvd
Upland, IN 46989
Phone (765) 499-1216

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1861763690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N JEFFERSON ST",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473482201",
            "telephone_number": "765-347-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N JEFFERSON ST",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473482201",
            "telephone_number": "765-347-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "CLAMME",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-347-8279",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.