Pace Community Action Agency, Inc.

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

Legal business name

PACE COMMUNITY ACTION AGENCY, INC.

Practice address

715 Wabash Ave
Vincennes, IN 47591-3216

Phone

(812) 882-6069

Fax

(812) 886-5307

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bertha Akida Proctor

Title

Executive Director

Phone

(812) 882-7927

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela S Cornwell, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1558753152
  NPD (past)
• Michelle Lee Pitcher, APRN, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Vincennes, IN
  • NPI 1356450522
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1962575423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 4TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911444",
            "telephone_number": "812-882-6069",
            "fax_number": "812-886-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WABASH AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913216",
            "telephone_number": "812-882-6069",
            "fax_number": "812-886-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE COMMUNITY ACTION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "AKIDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-882-7927",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diane Oliver, M.S.-CCC-SLP
• Glen Ehicheoya Oriaifo, MD
• Ourhealth Physicians Group, LLC
• Melissa A Overton, PA-C
• Robert Brian Owens, MS, CCC-SLP
• Jerick C Pacheco, MD
• Pain Management Centers of America, PSC
• Debra Painter, NP-C
• Shravan Panchal, MD
• Ashley E Panno, M.S., CCC-SLP

• Ambulatory Family Planning Facility in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Ambulatory Family Planning Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.