Erin Clampitt, CTRS

Individual provider Active NPI Community Health Worker · Speedway, IN

NPI 1962857474 · NPPES record last updated May 3, 2016

Key facts

NPI
1962857474
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
2101 Gerrard Ave
Speedway, IN 46224-5086
Phone
(317) 341-1026
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

2101 Gerrard Ave
Speedway, IN 46224-5086

Mailing address

2101 Gerrard Ave
Speedway, IN 46224-5086
Phone (317) 341-1026

Other providers in Speedway, IN

All providers in Speedway, IN · Community Health Worker in Indiana

Sources for this page

Verify at the official NPI Registry.