Healthcare Provider Details

I. General information

NPI: 1942642848
Provider Name (Legal Business Name): MIDWEST EXPRESS CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 INDIANAPOLIS BLVD
SCHERERVILLE IN
46375-1316
US

IV. Provider business mailing address

1500 INDIANAPOLIS BLVD
SCHERERVILLE IN
46375-1316
US

V. Phone/Fax

Practice location:
  • Phone: 219-440-7373
  • Fax:
Mailing address:
  • Phone: 219-513-9413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number02003711A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER BATY
Title or Position: CC SPECIALIST LEAD
Credential:
Phone: 605-789-6574