OAKLAND CITY FAMILY PRACTICE LLC NPI 1598841652

NPI Information

NPI: 1598841652
Provider Name: OAKLAND CITY FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 15D2216500

Address:
HWY 64 W
OAKLAND CITY, IN
ZIP 47660
Phone: (812) 749-6187
Get Directions

OAKLAND CITY FAMILY PRACTICE, LLC is a rural health clinic center in Oakland City, IN. OAKLAND CITY FAMILY PRACTICE, LLC NPI is 1598841652. The provider is registered as an organization entity type.

The provider's business location address is:

HWY 64 W
OAKLAND CITY, IN
ZIP 47660-266
Phone: (812) 749-6187
Fax: (812) 749-6187

The provider's authorized official is Terry C Gehlhausen .
The authorized official title is Owner, Manager and has the following contact phone number (812) 749-6187.

The CLIA number assigned to this NPI record is 15D2216500 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 1/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	282330	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	200176150A	MEDICAID	INDIANA
3	CN8803	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	RR MCARE GROUP #
4	153854	MEDICARE OSCAR/CERTIFICATION	INDIANA
5	153854	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	RURAL HEALTH MEDICARE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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