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HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE NPI 1104280064


NPI Information

NPI: 1104280064
Provider Name: HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 15D0360005

Address:
4400 N SUPERIOR DR
MUNCIE, IN
ZIP 47303
Phone: (657) 282-0951
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HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE is a preventive medicine/occupational environmental medicine preventive medicine in Muncie, IN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE NPI is 1104280064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 N SUPERIOR DR
MUNCIE, IN
ZIP 47303-436
Phone: (657) 282-0951

The provider's authorized official is Jill Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 15D0360005 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 11/28/2022.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.