# MH NURSING OF INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MH NURSING OF INDIANA, PC
- **Other names:** Pipefitters Local 597 Crown Pt
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194359240
- **Legal business name:** MH NURSING OF INDIANA, PC
- **Authorized official:** JESSICA NASS APN (PRESIDENT)
- **Authorized official phone:** (802) 857-0400

## Contact information

- **Practice address:** 10090 GEORGIA ST, CROWN POINT, IN 46307-6526
- **Practice address phone:** (219) 472-4077
- **Mailing address:** PO BOX 5, WINOOSKI, VT 05404-0005
- **Mailing address phone:** (802) 857-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2020
- **Last updated:** 02/27/2020