| Healthlinc, Inc | |
|
1509 State St Ste B La Porte IN 46350-3115 | |
| (219) 413-5100 | |
| (219) 465-9507 |
| Full Name | Healthlinc, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1509 State St Ste B, La Porte, Indiana |
| Authorized Official Name and Position | Melissa D 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, Inc 1509 State St Ste B La Porte IN 46350-3115 Ph: (219) 413-5100 | Healthlinc, Inc 1509 State St Ste B La Porte IN 46350-3115 Ph: (219) 413-5100 |
| NPI Number | 1538980990 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 7618929373 |
|---|---|
| Medicare Enrollment ID | O20241226000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538980990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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