# MIDWEST EXPRESS CARE 4 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255178125
- **Authorized official:** JENNIFER BATY (CC SPECIALIST LEAD)
- **Authorized official phone:** (605) 789-6574

## Contact information

- **Practice address:** 6097 BROADWAY, MERRILLVILLE, IN 46410-2619
- **Practice address phone:** (219) 758-5152
- **Practice address fax:** (219) 444-4396
- **Mailing address:** PO BOX 775342, CHICAGO, IL 60677-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024