ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE
NPI 1891044681
Clinic/Center in Terre Haute, IN

Active since September 07, 2012
1436 LOCUST STREET, TERRE HAUTE, IN 47807(812) 232-7447(812) 232-6962 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 29, 2020, Jun 25, 2020, Jan 19, 2016 (3 updates tracked since 2016).

  • Organization
  • Clinic/Center

About ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE

This page provides the complete NPI Profile along with additional information for St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se, a provider established in Terre Haute, Indiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1891044681 assigned on September 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se. The authorized official of this NPI record is Mr. Peter Cook Ciancone (President Of The Board Of Directors)

NPI
1891044681 Verify this NPI
Provider Legal Name
WABASH VALLEY HEALTH CENTER, INC.
Other Organization Name
ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1436 LOCUST STREET TERRE HAUTE, IN 47807
Location Phone
(812) 232-7447
Location Fax
(812) 232-6962
Mailing Address
1436 LOCUST STREET TERRE HAUTE, IN 47807
Mailing Phone
(812) 232-7447
Mailing Fax
(812) 232-6962
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2012
Last Update Date
06-29-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PETER COOK CIANCONE

Authorized Official Title
PRESIDENT OF THE BOARD OF DIRECTORS
Authorized Official Phone
(812) 240-6056

Reviews for ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891044681, enumerated as an "organization" on September 07, 2012.

The provider is located at 1436 LOCUST STREET TERRE HAUTE, IN 47807 and the phone number is (812) 232-7447.

Clinic/Center with taxonomy code 261Q00000X.