| Echo Family Practice Clinic | |
|
801 Saint Marys Dr Suite 309 Evansville IN 47714-0511 | |
| (812) 485-4455 | |
| (812) 485-6767 |
| Full Name | Echo Family Practice Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 801 Saint Marys Dr, Evansville, Indiana |
| Authorized Official Name and Position | Sandee Strader-mcmillen (CEO) |
| Authorized Official Contact | 8124217489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Family Practice Clinic 315 Mulberry St Evansville IN 47713-1252 Ph: (812) 421-7489 | Echo Family Practice Clinic 801 Saint Marys Dr Suite 309 Evansville IN 47714-0511 Ph: (812) 485-4455 |
| NPI Number | 1770875973 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770875973 | NPI | - | NPPES |
| 200079040E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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