NPIMap

Organization Active NPI

Community Helath Center of Jackson County

  • Federally Qualified Health Center (FQHC)
  • Seymour, IN
National Provider Identifier
1972675270
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HELATH CENTER OF JACKSON COUNTY
Practice address
113 N Chestnut St
Seymour, IN 47274-2176
Phone
(812) 524-8388
Fax
(812) 524-8445
NPI assigned
Nov 14, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Phil Burgan, MD
Title
Chief Medical Officer
Phone
(317) 576-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

113 N Chestnut St
Seymour, IN 47274-2176

Mailing address

113 N Chestnut St
Seymour, IN 47274-2176
Phone (812) 524-8388

Other names 1

  • Indiana Health Centers Seymour Other name

National Provider Directory

National Provider Directory
Tax ID family
Hamilton County Wic Program22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1972675270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742176",
            "telephone_number": "812-524-8388",
            "fax_number": "812-524-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742176",
            "telephone_number": "812-524-8388",
            "fax_number": "812-524-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HELATH CENTER OF JACKSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "317-576-1335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Health Centers Seymour",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.