| |
1207 Lincolnway W Mishawaka IN 46544-1709 | |
(574) 255-4733 | |
(574) 255-4464 |
Full Name | |
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Speciality | Family Medicine |
Location | 1207 Lincolnway W, Mishawaka, Indiana |
Authorized Official Name and Position | Laura Lee Helman (OWNER) |
Authorized Official Contact | 5742554733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1207 Lincolnway W Mishawaka IN 46544-1709 Ph: (574) 255-4733 | 1207 Lincolnway W Mishawaka IN 46544-1709 Ph: (574) 255-4733 |
NPI Number | 1558621839 |
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Provider Enumeration Date | 05/21/2012 |
Last Update Date | 05/21/2012 |
Medicare PECOS PAC ID | 0143483271 |
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Medicare Enrollment ID | O20120529000437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558621839 | NPI | - | NPPES |
201042380 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02002716A (Indiana) | Primary |
Provider Name | Laura L Helman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558313452 PECOS PAC ID: 7012957673 Enrollment ID: I20050503001358 |
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