MEDICARE: FRANCISCAN HEALTH MICHIGAN CITY

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy

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	:	1225380926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN HEALTH MICHIGAN CITY

Provider Business Mailing Address
First Line	:	757 45TH ST
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2911
Country	:	US
Telephone Number	:	219-407-6894
Fax Number	:	219-836-2464

Provider Business Practice Location Address
First Line	:	757 45TH AVE
Second Line	:	SUITE 102
City	:	MUNSTER
State	:	IN
Zip	:	46321-2911
Country	:	US
Telephone Number	:	219-836-1899
Fax Number	:	219-836-2464

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DEAN MAZZONI
Credential	:
Telephone Number	:	219-877-1410

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	12/26/2025

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Directions to “FRANCISCAN HEALTH MICHIGAN CITY ” Practice Location

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