Evansville Primary Care
LBN: Evansville Primary Care Llc
Evansville Primary Care is an health care organization with primary practice located at 4933 E Plaza East Blvd , Evansville IN 47715-2813. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Evansville Primary Care Llc can be contacted via phone (812) 479-6907, or through Cantacessi, Kaylynn via phone (812) 479-6907.
Contact Information
Primary practice address
4933 E Plaza East Blvd
Evansville IN 47715-2813
Phone: (812) 479-6907
Fax: (812) 479-6967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1629027800 |
|---|---|
| LBN Legal business name | Evansville Primary Care Llc |
| DBA Doing business as | Evansville Primary Care |
| Authorized official | Cantacessi, Kaylynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 1st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629027800 | NPPES |
| Indiana | MEDICAID | 200321590 | |
| Indiana | MEDICAID | 1912987363 |
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