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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