Boone County Community Health Clinic, Inc

LBN: Boone County Community Health Clinic, Inc
Boone County Community Health Clinic, Inc is an health care organization with primary practice located at 416 W Camp St , Lebanon IN 46052-1799. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Boone County Community Health Clinic, Inc can be contacted via phone (765) 483-4469, or through Mcquade-Jones, Bambi via phone (765) 483-4469.

Contact Information

Primary practice address
416 W Camp St Lebanon IN 46052-1799
Phone: (765) 483-4469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcquade-Jones, Bambi DNP, FNP-C
Phone: (765) 483-4469

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 71000784B Indiana

Profile Details

NPI number 1962681734
LBN Legal business name Boone County Community Health Clinic, Inc
DBA Doing business as
Authorized official Mcquade-Jones, Bambi DNP, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Feb 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962681734 NPPES
Indiana MEDICAID 100063430
Indiana MEDICAID 200401120A
Indiana MEDICAID 200432840

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