| Healthlinc - East Chicago | |
|
1313 W Chicago Ave East Chicago IN 46312 | |
| (219) 398-9685 | |
| (219) 398-9695 |
| Full Name | Healthlinc - East Chicago |
|---|---|
| Speciality | Clinic/Center |
| Location | 1313 W Chicago Ave, East Chicago, Indiana |
| Authorized Official Name and Position | Melissa Mitchell (CEO) |
| Authorized Official Contact | 2194659503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthlinc - East Chicago 2401 Valley Dr Valparaiso IN 46383-2520 Ph: (219) 413-5100 | Healthlinc - East Chicago 1313 W Chicago Ave East Chicago IN 46312 Ph: (219) 398-9685 |
| NPI Number | 1184069569 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7618929373 |
|---|---|
| Medicare Enrollment ID | O20130612000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184069569 | NPI | - | NPPES |
| 200317310F | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS06662 (Indiana) | Primary |
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Nwi Home Doctor Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3847 Euclid Ave, East Chicago, IN 46312 Phone: 219-949-7540 | |
219 Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-7016 | |
St Catherine Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Chicago Avenue, Suite F, East Chicago, IN 46312 Phone: 219-397-0193 Fax: 219-397-0657 | |
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