| Valley Professionals Community Health Center, Inc. | |
|
777 S Main St Suite 100 Clinton IN 47842-2493 | |
| (765) 828-1003 | |
| (765) 828-1030 |
| Full Name | Valley Professionals Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 S Main St, Clinton, Indiana |
| Authorized Official Name and Position | Terry J. Warren (CEO) |
| Authorized Official Contact | 8128281003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Professionals Community Health Center, Inc. Po Box 344 Clinton IN 47842-0344 Ph: (765) 828-1003 | Valley Professionals Community Health Center, Inc. 777 S Main St Suite 100 Clinton IN 47842-2493 Ph: (765) 828-1003 |
| NPI Number | 1104006253 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 02/19/2015 |
| Medicare PECOS PAC ID | 7618067265 |
|---|---|
| Medicare Enrollment ID | O20071219000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104006253 | NPI | - | NPPES |
| 200884580A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | John C Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528178886 PECOS PAC ID: 4688566250 Enrollment ID: I20040327000429 |
| Provider Name | Eugene H Epplin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528174182 PECOS PAC ID: 0941293005 Enrollment ID: I20040405001421 |
| Provider Name | Bing Wang Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396736039 PECOS PAC ID: 8325031412 Enrollment ID: I20040405001638 |
| Provider Name | Gary Allen Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443838 PECOS PAC ID: 4981637428 Enrollment ID: I20050914001186 |
| Provider Name | Steven G Waltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710978333 PECOS PAC ID: 3173548104 Enrollment ID: I20051010000464 |
| Provider Name | Eric David Beachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881652188 PECOS PAC ID: 2365463213 Enrollment ID: I20051207000911 |
| Provider Name | Andrew Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972618775 PECOS PAC ID: 6103826177 Enrollment ID: I20061226000035 |
| Provider Name | Amy Lynn Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801962105 PECOS PAC ID: 0547367880 Enrollment ID: I20070521000399 |
| Provider Name | Beth R Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700862364 PECOS PAC ID: 5294835153 Enrollment ID: I20070709000193 |
| Provider Name | Lisa Karen Tincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063497915 PECOS PAC ID: 6002916962 Enrollment ID: I20070709000203 |
| Provider Name | Steven A Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578537056 PECOS PAC ID: 6507809902 Enrollment ID: I20070802000582 |
| Provider Name | Renae Lynn Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932384476 PECOS PAC ID: 9739265257 Enrollment ID: I20080325000232 |
| Provider Name | Kenneth M Kigorwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831355270 PECOS PAC ID: 2860545142 Enrollment ID: I20090804000516 |
| Provider Name | Dion A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699750125 PECOS PAC ID: 6002897675 Enrollment ID: I20090810000245 |
| Provider Name | Laurie J Valera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790941086 PECOS PAC ID: 9234285412 Enrollment ID: I20090914000669 |
| Provider Name | Tammy S. Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447230826 PECOS PAC ID: 6608905351 Enrollment ID: I20100519000192 |
| Provider Name | Barbara A Reed-schuessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568628915 PECOS PAC ID: 8426188160 Enrollment ID: I20100607000871 |
| Provider Name | Alexander L Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836549 PECOS PAC ID: 1052386109 Enrollment ID: I20100715000861 |
| Provider Name | Tammy L Mundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447473533 PECOS PAC ID: 7113059676 Enrollment ID: I20100719000610 |
| Provider Name | Linda S Lonneman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982843926 PECOS PAC ID: 5991839268 Enrollment ID: I20100823000687 |
| Provider Name | Leslie D Batty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073675021 PECOS PAC ID: 5395938690 Enrollment ID: I20101019001073 |
| Provider Name | Michael J Urban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588657514 PECOS PAC ID: 5395893168 Enrollment ID: I20110322000138 |
| Provider Name | Lisa D Gaither |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194965228 PECOS PAC ID: 0345418679 Enrollment ID: I20110712000623 |
| Provider Name | Robert M Ehresman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639335086 PECOS PAC ID: 1456522689 Enrollment ID: I20110920000803 |
| Provider Name | Heidi A Millspaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326328329 PECOS PAC ID: 9739350844 Enrollment ID: I20110921000824 |
| Provider Name | Michelle K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801734 PECOS PAC ID: 1153595087 Enrollment ID: I20111110000739 |
| Provider Name | Michelle D Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861778763 PECOS PAC ID: 6204000920 Enrollment ID: I20111115000504 |
| Provider Name | Christi L Busenbark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851675664 PECOS PAC ID: 2769656875 Enrollment ID: I20111129000202 |
| Provider Name | Nicole Suzette Hall Stilianos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568738813 PECOS PAC ID: 7618130071 Enrollment ID: I20120522000942 |
| Provider Name | Edward A Rico |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477739423 PECOS PAC ID: 5698939684 Enrollment ID: I20120601000314 |
| Provider Name | Misha E Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871868406 PECOS PAC ID: 9739344938 Enrollment ID: I20120712000581 |
| Provider Name | Puja M Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427287010 PECOS PAC ID: 8729234844 Enrollment ID: I20120806000544 |
| Provider Name | Nicole M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740520600 PECOS PAC ID: 0749425742 Enrollment ID: I20130322000013 |
| Provider Name | Jeffrey K Binder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285070177 PECOS PAC ID: 8628217817 Enrollment ID: I20130619000405 |
| Provider Name | Paul S Taraska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912137290 PECOS PAC ID: 3971744814 Enrollment ID: I20130718000764 |
| Provider Name | Jacqueline Nuval |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356505366 PECOS PAC ID: 6002041233 Enrollment ID: I20131024001077 |
| Provider Name | Amber Lee Cadick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548352693 PECOS PAC ID: 7416195631 Enrollment ID: I20140123001567 |
| Provider Name | Amber D Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255759817 PECOS PAC ID: 8628201571 Enrollment ID: I20140430002170 |
| Provider Name | Sara Ritter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700815503 PECOS PAC ID: 1355655051 Enrollment ID: I20150807013915 |
| Provider Name | Gwyndolen Morson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871964023 PECOS PAC ID: 7517267636 Enrollment ID: I20151123000091 |
| Provider Name | Michelle Modlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698244 PECOS PAC ID: 1557661428 Enrollment ID: I20151125000238 |
| Provider Name | Lacey R Skwortz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497111520 PECOS PAC ID: 1456656065 Enrollment ID: I20160219000152 |
| Provider Name | Scott Ripple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871688598 PECOS PAC ID: 9638475577 Enrollment ID: I20160302002535 |
| Provider Name | Jason Joshua Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700327533 PECOS PAC ID: 9436434669 Enrollment ID: I20170330000248 |
| Provider Name | Christopher M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083020580 PECOS PAC ID: 0941426209 Enrollment ID: I20170828000579 |
| Provider Name | Danielle M Cundiff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568878064 PECOS PAC ID: 7719103175 Enrollment ID: I20170914000246 |
| Provider Name | Charlotte Claire Waling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831610740 PECOS PAC ID: 6901170695 Enrollment ID: I20170919002238 |
| Provider Name | Jessica N Bekkering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700301090 PECOS PAC ID: 8527325471 Enrollment ID: I20171130001395 |
| Provider Name | Angela R Hatfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326427873 PECOS PAC ID: 4082925409 Enrollment ID: I20180619001709 |
| Provider Name | Katherine Chobanov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841654688 PECOS PAC ID: 2264723790 Enrollment ID: I20190712001443 |
| Provider Name | George R Fritch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609223296 PECOS PAC ID: 4486945029 Enrollment ID: I20190715003373 |
| Provider Name | Sean P Ewing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538516117 PECOS PAC ID: 1951693498 Enrollment ID: I20190828003480 |
| Provider Name | Andrea Lynn Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487206306 PECOS PAC ID: 5991034217 Enrollment ID: I20190912001007 |
| Provider Name | Joshua Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402258 PECOS PAC ID: 3577996925 Enrollment ID: I20200404000018 |
| Provider Name | Rachelle Lebrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518589738 PECOS PAC ID: 5496176778 Enrollment ID: I20200522002618 |
| Provider Name | Benjamin D Lahood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275055709 PECOS PAC ID: 7012288350 Enrollment ID: I20200714002310 |
| Provider Name | Tasha J Lewis Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487605606 PECOS PAC ID: 6709917511 Enrollment ID: I20200817001103 |
| Provider Name | Corinne Rose Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073126272 PECOS PAC ID: 4587074075 Enrollment ID: I20201112001557 |
| Provider Name | Caleb Andrew Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356936751 PECOS PAC ID: 2466860556 Enrollment ID: I20210408001764 |
| Provider Name | Gary Owen Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467089656 PECOS PAC ID: 2264830819 Enrollment ID: I20211012001315 |
| Provider Name | Donna Kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281966 PECOS PAC ID: 5991046658 Enrollment ID: I20211101001471 |
| Provider Name | Katherine Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881345874 PECOS PAC ID: 6608262548 Enrollment ID: I20220401001814 |
| Provider Name | Aric Michael King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871152975 PECOS PAC ID: 9537493135 Enrollment ID: I20220728000620 |
| Provider Name | Anna M Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851028112 PECOS PAC ID: 3274916663 Enrollment ID: I20220817003354 |
| Provider Name | Zakary Taylor Bushue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497382402 PECOS PAC ID: 5193109122 Enrollment ID: I20220825000540 |
| Provider Name | Arrianne M Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487115259 PECOS PAC ID: 9537494299 Enrollment ID: I20230126003375 |
| Provider Name | Barbara Michelle Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912534199 PECOS PAC ID: 4183096241 Enrollment ID: I20230218000056 |
| Provider Name | Andrew Guille Cox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811696800 PECOS PAC ID: 5193190015 Enrollment ID: I20230406002336 |
| Provider Name | Janet Ann Rutter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003378258 PECOS PAC ID: 9830547371 Enrollment ID: I20231122001315 |
| Provider Name | Becky Annette Robeson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043678402 PECOS PAC ID: 4284082736 Enrollment ID: I20231122001800 |
| Provider Name | Jennifer Rene Roach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801541560 PECOS PAC ID: 7113375676 Enrollment ID: I20231122002150 |
| Provider Name | Sheri G Trendelman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487974119 PECOS PAC ID: 2860842416 Enrollment ID: I20231222002342 |
| Provider Name | Jennifer R Schumaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063178697 PECOS PAC ID: 4880030519 Enrollment ID: I20240315002052 |
| Provider Name | Kerstin Marie Minton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538739339 PECOS PAC ID: 0840631297 Enrollment ID: I20240516000260 |
John L Wheat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Vine St, Clinton, IN 47842 Phone: 765-592-3381 Fax: 765-820-1105 | |
Willow Oak Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 S Main St, Clinton, IN 47842 Phone: 912-713-1124 | |
Parke Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 S 3rd St, Clinton, IN 47842 Phone: 765-832-2464 Fax: 765-832-1638 | |
Union Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 S 3rd St, Clinton, IN 47842 Phone: 765-832-2464 | |
Associated Physicians & Surgeons Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Clinton, IN 47842 Phone: 812-232-0564 Fax: 812-242-3848 |