FOUNDATIONS FAMILY MEDICINE PC
NPI 1720097322
Clinic/Center - Multi-Specialty in Austin, IN

Active since August 05, 2006CLIA Certified · 2 labs
25 W MAIN ST, AUSTIN, IN 47102(812) 794-8100(812) 794-8200 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Foundations Family Medicine Pc NPPES

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

FOUNDATIONS FAMILY MEDICINE PC (NPI 1720097322) is a healthcare organization registered as a multi-specialty in Austin, Indiana and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists William E Cooke, Director/officer, as its authorized official.

NPPES Registry Identity

NPI1720097322
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFOUNDATIONS FAMILY MEDICINE PC
Location Address25 W MAIN STAustin, IN 47102-1303
Mailing Address25 W Main StAustin, IN 47102-1303 · (812) 794-8100 · Fax (812) 794-8200
Fax(812) 794-8200
Organization SubpartNo
Authorized OfficialWilliam E CookeDirector/officer · (812) 794-8100
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 1, 2013
NPI 1720097322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in IN · 01056407A
25 W MAIN ST, Austin, IN 47102

Other Identifiers 4

Medicaid200490500AIN
Medicare OSCAR/certification153883IN
OtherDC0744IN · Rr Medicare
Medicare PIN218850IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 15D1028713

Dba Foundations Family Medicine Well Care Community Health, Inc · Austin, IN
Active · expires Jan 30, 2027
CLIA Number15D1028713
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorWilliam E. Cooke
Laboratory Phone(812) 794-8100
Laboratory LocationDba Foundations Family Medicine Well Care Community Health, Inc25 W Main Street, Austin, IN 47102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2175245

Dba Foundations Family Medicine Well Care Community Health, Inc · Henryville, IN
Active · expires Nov 18, 2027
CLIA Number15D2175245
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorWilliam E. Cooke Jr
Laboratory Phone(812) 794-8100
Laboratory LocationDba Foundations Family Medicine Well Care Community Health, Inc314 S Ferguson St, Henryville, IN 47126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Federally Qualified Health Center (FQHC))
25 W MAIN ST
AUSTIN, IN 47102
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Physician Assistant
25 W MAIN ST
AUSTIN, IN 47102
Family Medicine
25 W MAIN ST
AUSTIN, IN 47102
Pharmacist
25 W MAIN ST
AUSTIN, IN 47102
Nurse Practitioner (Family)
25 W MAIN ST
AUSTIN, IN 47102
Family Medicine
25 W MAIN ST
AUSTIN, IN 47102

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 Foundations Family Medicine PC's NPI number?

The NPI number for Foundations Family Medicine PC is 1720097322. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Foundations Family Medicine PC located?

Foundations Family Medicine PC is located at 25 W Main St, Austin, IN 47102. The listed phone number is (812) 794-8100.

What is Foundations Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Foundations Family Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Foundations Family Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Foundations Family Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Foundations Family Medicine PC was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.