Organization
ECHO COMMUNITY HEALTH CARE, INC.
Active
Organization
ECHO COMMUNITY HEALTH CARE, INC.
Active
Other names
Division Street Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEE STRADER-MCMILLEN (CEO)
(812) 421-7489
Entity
Organization
Contact information
Practice address
25 W DIVISION ST, EVANSVILLE, IN 47710-1374
(812) 436-0205
(812) 436-0207
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 436-0209
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079040
—
IN
Enumeration date
07/06/2006
Last updated
07/15/2015
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