MIDWEST EXPRESS CARE 4 LLC NPI 1619536067

NPI Information

NPI: 1619536067
Provider Name: MIDWEST EXPRESS CARE 4 LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 15D2161074

Address:
5043 E 81ST AVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 554-3290
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MIDWEST EXPRESS CARE 4 LLC is an urgent care clinic center in Merrillville, IN. MIDWEST EXPRESS CARE 4 LLC NPI is 1619536067. The provider is registered as an organization entity type.

The provider's business location address is:

5043 E 81ST AVE
MERRILLVILLE, IN
ZIP 46410-912
Phone: (219) 554-3290
Fax: (219) 554-3291

The provider's authorized official is Milap Shah .
The authorized official title is Owner and has the following contact phone number (219) 802-8800.

The CLIA number assigned to this NPI record is 15D2161074 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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

NPI Synchronization or Removal

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