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EASTSIDE FAMILY MEDICINE
NPI 1609940105
Family Medicine in Crawfordsville, IN

Active since November 17, 2006CLIA 15D0966903 · Waiver
2056 LEBANON RD, CRAWFORDSVILLE, IN 47933(765) 361-9923 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastside Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE FAMILY MEDICINE (NPI 1609940105) is a healthcare organization registered as a family medicine in Crawfordsville, Indiana and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Jim Siemers, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609940105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST CLARE HEALTH NETWORK
Location Address2056 LEBANON RDCrawfordsville, IN 47933-2143
Mailing Address1710 Lafayette RdCrawfordsville, IN 47933-1033 · (765) 362-2800
Phone(765) 361-9923
Organization SubpartYesParent: St Clare Medical Center
Authorized OfficialJim SiemersExecutive Director · (765) 362-2800
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1609940105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2056 LEBANON RD, Crawfordsville, IN 47933
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Other Names 1

Doing Business AsEastside Family Medicine

Other Identifiers 2

Medicare PIN150970IN
Medicare PINCG2471IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0966903

Eastside Family Medicine Attn Mgmt Clia Regulatory Certification · Crawfordsville, IN
Active · expires Sep 13, 2026
CLIA Number15D0966903
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorBarry A. Mathison
Laboratory Phone(765) 361-9930
Laboratory LocationEastside Family Medicine Attn Mgmt Clia Regulatory Certification2056 Lebanon Rd, Crawfordsville, IN 47933
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA LYNNE COHEE NP
Nurse Practitioner (Gerontology)
2056 LEBANON RD
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-9930
BARRY A MATHISON M.D.
Family Medicine
2056 LEBANON RD
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-9930
FRANCISCAN HEALTH CRAWFORDSVILLE
Nurse Practitioner (Family)
2056 LEBANON RD
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-9930
STEVEN TRIMBLE P.A. - C.
Physician Assistant
2056 LEBANON RD
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-9930
AIMEE ELIZABETH BARNETT N.P.
Nurse Practitioner (Family)
2056 LEBANON RD
CRAWFORDSVILLE, IN 47933
Montgomery County (765) 361-9930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Clare Health Network's NPI number?

The NPI number for St Clare Health Network is 1609940105. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Eastside Family Medicine.

Where is St Clare Health Network located?

St Clare Health Network is located at 2056 Lebanon Rd, Crawfordsville, IN 47933. The listed phone number is (765) 361-9923.

What is St Clare Health Network's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does St Clare Health Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0966903) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Clare Health Network was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.