| Healthlinc - Corporate | |
|
2401 Valley Dr Valparaiso IN 46383-2520 | |
| (219) 413-5100 | |
| Not Available |
| Full Name | Healthlinc - Corporate |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 Valley Dr, Valparaiso, Indiana |
| Authorized Official Name and Position | Melissa Mitchell (CEO) |
| Authorized Official Contact | 2194659503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthlinc - Corporate 2401 Valley Dr Valparaiso IN 46383-2520 Ph: (219) 413-5100 | Healthlinc - Corporate 2401 Valley Dr Valparaiso IN 46383-2520 Ph: (219) 413-5100 |
| NPI Number | 1578293452 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7618929373 |
|---|---|
| Medicare Enrollment ID | O20220624001331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578293452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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