Edinburgh/trafalgar Family Health Centers, Inc | |
14 Trafalgar Sq Trafalgar IN 46181-9515 | |
(317) 878-2301 | |
(317) 878-2302 |
Full Name | Edinburgh/trafalgar Family Health Centers, Inc |
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Speciality | Clinic/Center |
Location | 14 Trafalgar Sq, Trafalgar, Indiana |
Authorized Official Name and Position | Michael K Kolenda (CEO EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3178782301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edinburgh/trafalgar Family Health Centers, Inc 14 Trafalgar Sq Trafalgar IN 46181-9515 Ph: (317) 878-2301 | Edinburgh/trafalgar Family Health Centers, Inc 14 Trafalgar Sq Trafalgar IN 46181-9515 Ph: (317) 878-2301 |
NPI Number | 1568404226 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 10/09/2019 |
Medicare PECOS PAC ID | 8426965039 |
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Medicare Enrollment ID | O20041018000851 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568404226 | NPI | - | NPPES |
200127470 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
Provider Name | Tamera Andrews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740281690 PECOS PAC ID: 9234106907 Enrollment ID: I20040913000680 |
Provider Name | Rachel R Greenfield |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1417970062 PECOS PAC ID: 4789624727 Enrollment ID: I20050509000874 |
Provider Name | Melissa Essig |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932195971 PECOS PAC ID: 9436160678 Enrollment ID: I20060601000020 |
Provider Name | Lisa M Brownlee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699865824 PECOS PAC ID: 7113024514 Enrollment ID: I20070519000003 |
Provider Name | Julie L Snyder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639227382 PECOS PAC ID: 8820199821 Enrollment ID: I20070720000325 |
Provider Name | Randall A Lee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124023072 PECOS PAC ID: 7911065677 Enrollment ID: I20081023000800 |
Provider Name | Daniela A Lobo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720241144 PECOS PAC ID: 8123185501 Enrollment ID: I20090330000619 |
Provider Name | Lisa K Hoffhaus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164691135 PECOS PAC ID: 4486700200 Enrollment ID: I20090921000345 |
Provider Name | Jennifer R Hardisty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962720490 PECOS PAC ID: 3971634015 Enrollment ID: I20100706000441 |
Provider Name | Yeuk Ting Bonnie Wong |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538328075 PECOS PAC ID: 3072637891 Enrollment ID: I20100901000083 |
Provider Name | Lourdes H Geise |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831104371 PECOS PAC ID: 6709070071 Enrollment ID: I20101101000095 |
Provider Name | Mirela Ungureanu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225240377 PECOS PAC ID: 0042405409 Enrollment ID: I20101110001288 |
Provider Name | Amanda Stropes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508124777 PECOS PAC ID: 1951562701 Enrollment ID: I20120423000301 |
Provider Name | Derrick L Hasenour |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295997450 PECOS PAC ID: 2567626401 Enrollment ID: I20120606000015 |
Provider Name | Brock D Mcmillen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952629644 PECOS PAC ID: 4082850862 Enrollment ID: I20130906000444 |
Provider Name | Jonathan D Moulder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831459890 PECOS PAC ID: 4082850557 Enrollment ID: I20150706001828 |
Provider Name | Amber J Perry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922535251 PECOS PAC ID: 2466720057 Enrollment ID: I20170623000564 |
Provider Name | Thanh K Quach |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1144264409 PECOS PAC ID: 7012285570 Enrollment ID: I20170626000684 |
Provider Name | Melanie Hayes |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1770788663 PECOS PAC ID: 3274804315 Enrollment ID: I20170808000116 |
Provider Name | Aubaine M Woods |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184771057 PECOS PAC ID: 8820199680 Enrollment ID: I20180209002080 |
Provider Name | Emily M Gould |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366824112 PECOS PAC ID: 3072827021 Enrollment ID: I20181106003270 |
Provider Name | Brittany Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376195578 PECOS PAC ID: 3274864079 Enrollment ID: I20191009001046 |
Provider Name | Joshua Michael Herber |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1346772977 PECOS PAC ID: 1355618612 Enrollment ID: I20220805000350 |
Provider Name | Lauren Alexandra Connell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699339739 PECOS PAC ID: 8325373376 Enrollment ID: I20220822001613 |
Provider Name | Savanna H Bruski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922561711 PECOS PAC ID: 2062746563 Enrollment ID: I20220901000328 |
Provider Name | Oluwabusayo Ann Adebusuyi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1568925204 PECOS PAC ID: 7113250226 Enrollment ID: I20220916000246 |
Provider Name | Katie L Buel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598177008 PECOS PAC ID: 7618279514 Enrollment ID: I20221007001042 |
Provider Name | Matthew C Feeney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659832210 PECOS PAC ID: 1658606330 Enrollment ID: I20230117001075 |
Provider Name | Neema Mohammad Nader |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952859555 PECOS PAC ID: 5193009991 Enrollment ID: I20230211000249 |
Provider Name | Amanda Yuan Gu |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174143994 PECOS PAC ID: 5890116594 Enrollment ID: I20230411001188 |
Provider Name | Melinda Dolack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184022634 PECOS PAC ID: 6002133402 Enrollment ID: I20230912002139 |
Provider Name | Dana Eron Mcgrath |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659072445 PECOS PAC ID: 1052757309 Enrollment ID: I20240309000342 |
Provider Name | Taylor Schaub |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992576862 PECOS PAC ID: 5294172425 Enrollment ID: I20240325000950 |
Provider Name | James H Hastings |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1538381850 PECOS PAC ID: 1456763358 Enrollment ID: I20240503000568 |
Windrose Health Network - Trafalgar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Trafalgar Sq, Trafalgar, IN 46181 Phone: 317-412-9190 Fax: 317-878-2302 | |
Windrose Health Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Trafalgar Sq, Trafalgar, IN 46181 Phone: 317-739-4895 |