MEDICARE: HEALTHLINC, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	H80CS06662	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023288032
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	:	219-413-5100
Fax Number	:	219-465-9507

Provider Business Practice Location Address
First Line	:	701 WALL ST
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383
Country	:	US
Telephone Number	:	219-299-8419
Fax Number	:	219-462-7504

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

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	05/15/2026

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Directions to “HEALTHLINC, INC. ” Practice Location

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