SULLIVAN MEDICAL CLINIC
NPI 1821360298
Clinic/Center - Health Service in Sullivan, IN

Active since February 01, 2012
1120 N SECTION ST, SULLIVAN MEDICAL CLINIC, SULLIVAN, IN 47882(812) 268-3901(812) 268-0674 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sullivan Medical Clinic NPPES

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

SULLIVAN MEDICAL CLINIC (NPI 1821360298) is a healthcare organization registered as a health service in Sullivan, Indiana and active in the NPI registry since February 2012. The organization lists Mary Ann Chavez, Owner/sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1821360298
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMARY ANN CHAVEZ DO
Location Address1120 N SECTION ST, SULLIVAN MEDICAL CLINICSullivan, IN 47882-9200
Mailing Address1120 N Section StSullivan, IN 47882-9200 · (812) 268-3901 · Fax (812) 268-0674
Fax(812) 268-0674
Organization SubpartNo
Authorized OfficialMary Ann ChavezOwner/sole Proprietor · (812) 268-3901
Enumeration DateFebruary 1, 2012
Last NPPES UpdateJanuary 31, 2013
NPI 1821360298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in IN · 02002313A
1120 N SECTION ST, Sullivan, IN 47882

Other Names 1

Doing Business AsSullivan Medical Clinic

Other Identifiers 3

Medicare UPING06963
Medicare PIN179820IN
Medicaid200343440IN

Other Providers at the Same Location NPPES

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

Family Medicine
1120 N SECTION ST, SULLIVAN MEDICAL CLINIC
SULLIVAN, IN 47882

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 Mary Ann Chavez Do's NPI number?

The NPI number for Mary Ann Chavez Do is 1821360298. It was assigned to this organization in the NPPES registry on February 1, 2012. The provider is doing business as Sullivan Medical Clinic.

Where is Mary Ann Chavez Do located?

Mary Ann Chavez Do is located at 1120 N Section St Sullivan Medical Clinic, Sullivan, IN 47882. The listed phone number is (812) 268-3901.

What is Mary Ann Chavez Do's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Mary Ann Chavez Do was last updated on January 31, 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.