Organization
PRIMARY COMMUNITY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME REDMAN NP-C, CCM (PRESIDENT)
(812) 598-6819
Entity
Organization
Contact information
Practice address
3116 E MORGAN AVE STE A, EVANSVILLE, IN 47711-4471
(812) 598-6819
Mailing address
3116 E MORGAN AVE STE A, EVANSVILLE, IN 47711-4471
(812) 598-6819
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/16/2021
Last updated
11/30/2021
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