FAMILY HEALTH CLINIC OF BURLINGTON – NPI #1295104669
Clinic/Center

FAMILY HEALTH CLINIC OF BURLINGTON is an AHC clinic located in BURLINGTON, IN. NPPES has assigned the NPI number 1295104669 to FAMILY HEALTH CLINIC OF BURLINGTON on September 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY HEALTH CLINIC OF BURLINGTON” is a dba name, the actual legal business name for this organization is TRUSTEES OF PURDUE UNIVERSITY. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Apr 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTH CLINIC OF BURLINGTON below.

NPI Profile for
TRUSTEES OF PURDUE UNIVERSITY

NPI Number
1295104669
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRUSTEES OF PURDUE UNIVERSITY
Doing Business As (dba): FAMILY HEALTH CLINIC OF BURLINGTON
Primary location
425 E 5TH STREET
SUITE B
BURLINGTON, IN 46915
Phone: (765) 564-3016 Fax: (765) 564-2608
Mailing address
901 PRINCE WILLIAM RD
SUITE A
DELPHI, IN 46923-1758
Phone: (765) 564-3016 Fax: (765) 564-2608
Organization Subpart
No
Authorized Official
DANIEL LAYMAN
EXECUTIVE DIRECTOR
Phone: (765) 564-3016
Updated
Certification Date
Apr 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.