MEDICARE: HEALTHLINC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker
3	208000000X	Pediatrics Physician
4	2084P0800X	Psychiatry Physician
5	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1164958427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHLINC, INC

Provider Business Mailing Address
First Line	:	2401 VALLEY DR
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-2520
Country	:	US
Telephone Number	:	219-477-6082
Fax Number	:	219-465-9507

Provider Business Practice Location Address
First Line	:	1600 ROOSEVELT RD
Second Line	:	NURSES OFFICE
City	:	VALPARAISO
State	:	IN
Zip	:	46383-3738
Country	:	US
Telephone Number	:	219-462-7173
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELISSA MITCHELL
Credential	:
Telephone Number	:	219-465-9503

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	02/12/2024

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Directions to “HEALTHLINC, INC ” Practice Location

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