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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