NPIMap

Organization Active NPI

PMR Healthcare

  • Primary Care Clinic/Center
  • Mount Vernon, IN
National Provider Identifier
1992523476
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PMR HEALTHCARE
Practice address
405 Southwind Plaza
Mount Vernon, IN 47620
Phone
(317) 845-5974
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Joseph David Donadio, EMT-P
Title
Vice President of Operations
Phone
(317) 845-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

405 Southwind Plaza
Mount Vernon, IN 47620

Mailing address

7399 N Shadeland Ave # 103
Indianapolis, IN 46250-2052

National Provider Directory

National Provider Directory
Tax ID family
PMR Healthcare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

405 Southwind Plz
Mount Vernon, IN 47620
Phone (317) 845-5974

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1992523476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7399 N SHADELAND AVE # 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SOUTHWIND PLAZA",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "47620",
            "telephone_number": "317-845-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "DONADIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "317-845-5974",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.