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NPI Code Detail

MEDICARE: BLUFFTON HEALTH SYSTEM LLC

MEDICARE: BLUFFTON HEALTH SYSTEM LLC
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
1314000000XSkilled Nursing Facility06005069-1IN

General Provider Information

NPI Number : 1912959842
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUFFTON HEALTH SYSTEM LLC
Provider Business Mailing Address
First Line : 15679 COLLECTION CENTER DR
Second Line :
City : CHICAGO
State : IL
Zip : 60693-0156
Country : US
Telephone Number : 260-824-3500
Fax Number : 260-824-3704
Provider Business Practice Location Address
First Line : 303 S MAIN ST
Second Line :
City : BLUFFTON
State : IN
Zip : 46714-2503
Country : US
Telephone Number : 260-919-5395
Fax Number : 260-919-3173
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA M LALOR
Credential :
Telephone Number : 629-215-3953
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/29/2021

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Directions to “BLUFFTON HEALTH SYSTEM LLC ” Practice Location

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