| Healthpartners | |
|
1225 E Coolspring Ave Michigan City IN 46360-6312 | |
| (219) 879-6531 | |
| (219) 878-5015 |
| Full Name | Healthpartners |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1225 E Coolspring Ave, Michigan City, Indiana |
| Authorized Official Name and Position | Amy Keller (DIRECTOR) |
| Authorized Official Contact | 2198732905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpartners 35682 Eagle Way Chicago IL 60678-1356 Ph: (219) 879-6531 | Healthpartners 1225 E Coolspring Ave Michigan City IN 46360-6312 Ph: (219) 879-6531 |
| NPI Number | 1013014158 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014158 | NPI | - | NPPES |
| DD6703 | Other | RR MEDICARE | |
| 200489550 | Medicaid | IN | |
| 000000347031 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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