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PROCARE HEALTHSPOT LLC NPI 1639653991


NPI Information

NPI: 1639653991
Provider Name: PROCARE HEALTHSPOT, LLC

Doing Business As: PROCARE HEALTHSPOT - NEWBURGH

Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

CLIA Number: 15D2175905

Address:
8788 RUFFIAN LN
NEWBURGH, IN
ZIP 47630
Phone: (812) 777-4532
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PROCARE HEALTHSPOT, LLC is a corporate health clinic center in Newburgh, IN. PROCARE HEALTHSPOT, LLC NPI is 1639653991. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Healthspot - Newburgh.

The provider's business location address is:

8788 RUFFIAN LN
NEWBURGH, IN
ZIP 47630-405
Phone: (812) 777-4532

The provider's authorized official is Tammy Feldpausch .
The authorized official title is Manager and has the following contact phone number (812) 491-3856.

The CLIA number assigned to this NPI record is 15D2175905 - other - employer based clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2018 and was last updated on 9/21/2018.


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
1261QC1800XClinic/CenterCorporate HealthYes

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

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