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NPI Code Detail

MEDICARE: HEALTHLINC, INC

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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1811465602
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 : 219-465-9502
Provider Business Practice Location Address
First Line : 1708 HIGH ST
Second Line :
City : SOUTH BEND
State : IN
Zip : 46613-2633
Country : US
Telephone Number : 219-413-5100
Fax Number : 219-465-9507
Authorized Official
Title or Position : CEO
Name : MELISSA MITCHELL
Credential :
Telephone Number : 219-465-9503
Provider Enumeration Date : 11/09/2018
Last Update Date : 01/12/2024

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