Healthcare Provider Details

I. General information

NPI: 1538087283
Provider Name (Legal Business Name): FRANCISCAN HEALTH MICHIGAN CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8733 W 400 N
MICHIGAN CITY IN
46360-9330
US

IV. Provider business mailing address

PO BOX 781076
DETROIT MI
48278-1008
US

V. Phone/Fax

Practice location:
  • Phone: 219-861-8740
  • Fax: 219-877-1029
Mailing address:
  • Phone: 317-528-4800
  • Fax: 317-865-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERRANCE WILSON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 765-502-4440