Organization
ECHO COMMUNITY HEALTH CARE, INC.
Active
Organization
ECHO COMMUNITY HEALTH CARE, INC.
Active
Other names
ECHO Woodson John Street Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEE E STRADER-MCMILLEN (CHIEF EXECUTIVE OFFICER)
(812) 421-7489
Entity
Organization
Contact information
Practice address
501 JOHN STREET, SUITE 12, EVANSVILLE, IN 47713-2705
(812) 436-0224
(812) 436-0230
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 421-7497
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QF0400X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079040C
—
IN
Enumeration date
07/04/2006
Last updated
03/18/2014
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