| NPI | 1942642848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M SCOTT Biling Manager 219-440-7373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 02003711a) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2023-11-14 |