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MIRICH MEDICAL CORPORATION NPI 1013982420


NPI Information

NPI: 1013982420
Provider Name: MIRICH MEDICAL CORPORATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
8550 BROADWAY
SUITE C
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-3550
Get Directions

MIRICH MEDICAL CORPORATION is a cardiovascular disease internal medicine in Merrillville, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MIRICH MEDICAL CORPORATION NPI is 1013982420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8550 BROADWAY
SUITE C
MERRILLVILLE, IN
ZIP 46410-032
Phone: (219) 769-3550
Fax: (219) 769-8604

The provider's authorized official is Ernest Carl Mirich .
The authorized official title is President and has the following contact phone number (219) 769-3550.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 11/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERINDIANATAX IDENTIFICATION NUMBER
2=========OTHERINDIANAANTHEM
3100440570AMEDICAIDINDIANA
4385970MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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