| Trucare Medical Center | |
|
8437 Kennedy Ave Highland IN 46322-1140 | |
| (219) 662-3931 | |
| (219) 663-6359 |
| Full Name | Trucare Medical Center |
|---|---|
| Speciality | Pediatrics |
| Location | 8437 Kennedy Ave, Highland, Indiana |
| Authorized Official Name and Position | Aida Ramirez (COO) |
| Authorized Official Contact | 2192372079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Medical Center 1500 Eagle Ridge Drive Suite 201 Schererville IN 46375 Ph: (219) 237-2079 | Trucare Medical Center 8437 Kennedy Ave Highland IN 46322-1140 Ph: (219) 662-3931 |
| NPI Number | 1285182147 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 07/01/2020 |
| Medicare PECOS PAC ID | 2062791718 |
|---|---|
| Medicare Enrollment ID | O20161121000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285182147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01055919A (Indiana) | Secondary |
| 208000000X | Pediatrics | 01055919A (Indiana) | Primary |
| Provider Name | Susan Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861459364 PECOS PAC ID: 3678608999 Enrollment ID: I20100311000892 |
| Provider Name | Nicole Louise Arena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396373551 PECOS PAC ID: 3476983438 Enrollment ID: I20200415003214 |
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