| True Health Experience Clinic Llc | |
|
6910 N Main St Unit 4 Granger IN 46530-9681 | |
| (574) 281-0202 | |
| (574) 990-4409 |
| Full Name | True Health Experience Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6910 N Main St Unit 4, Granger, Indiana |
| Authorized Official Name and Position | Dawn Marie Mahaffey (NURSE PRACTITIONER) |
| Authorized Official Contact | 5742810202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Health Experience Clinic Llc 684 E 950 N Westville IN 46391-9446 Ph: () - | True Health Experience Clinic Llc 6910 N Main St Unit 4 Granger IN 46530-9681 Ph: (574) 281-0202 |
| NPI Number | 1700656022 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 02/15/2025 |
| Medicare PECOS PAC ID | 5294171195 |
|---|---|
| Medicare Enrollment ID | O20240314000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700656022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dawn Marie Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033639679 PECOS PAC ID: 6901170273 Enrollment ID: I20170926000531 |
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