Healthcare Provider Details

I. General information

NPI: 1285872473
Provider Name (Legal Business Name): WORKFORCE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 DUNES PLZ HWY 421 & 20
MICHIGAN CITY IN
46360-7365
US

IV. Provider business mailing address

311 BOYD BLVD
LA PORTE IN
46350-3965
US

V. Phone/Fax

Practice location:
  • Phone: 219-874-3750
  • Fax: 219-874-4476
Mailing address:
  • Phone: 219-325-4603
  • Fax: 219-325-5435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK SAVAGE
Title or Position: DIRECTOR, CORPORATE HEALTH
Credential:
Phone: 219-326-2656