OrganizationActive
Mary Ann Chavez DO
NPI 1821360298 · Health Service Clinic/Center · Sullivan, IN
Provider details
- NPI number
- 1821360298
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Chavez, Owner/Sole Proprietor(812) 268-3901
- License
- 02002313A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 N Section St
Sullivan Medical Clinic
Sullivan, IN 47882-9200
Phone: (812) 268-3901
Fax: (812) 268-0674
Street-level locationGet directions
Mailing address
1120 N Section St
Sullivan, IN 47882-9200
Other names (DBA / former)
- Doing business as
- Sullivan Medical Clinic
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2013-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.