Convenient Care Clinic

LBN: Convenient Care Clinic
Convenient Care Clinic is an health care organization with primary practice located at 1813 Willow St Suite 3, Vincennes IN 47591-4276. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Convenient Care Clinic can be contacted via phone (812) 885-8941, or through Schuckman, Matthew via phone (812) 885-8972.

Contact Information

Primary practice address
1813 Willow St Suite 3 Vincennes IN 47591-4276
Fax: (812) 885-8940
Website:
Authorized official contact:
Name: Schuckman, Matthew

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1376823112
LBN Legal business name Convenient Care Clinic
DBA Doing business as
Authorized official Schuckman, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2011
Last updated Jan 24th, 2024 - about last year

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 1376823112 NPPES
Indiana MEDICAID 200922190

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