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Organization
FRANCISCAN HEALTH OLYMPIA FIELDS
Active
Organization
FRANCISCAN HEALTH OLYMPIA FIELDS
Active
Other names
Franciscan Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WESSEL (DIVISIONAL CFO)
(317) 705-4530
Entity
Organization
Contact information
Practice address
7847 CALUMET AVE, MUNSTER, IN 46321-1213
(855) 383-7095
(219) 836-7524
Mailing address
7847 CALUMET AVE, MUNSTER, IN 46321-1213
(800) 848-2159
(708) 331-3285
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69001008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289070006
PTAN
IN
Enumeration date
09/13/2012
Last updated
10/13/2023
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