# WANEE WALK IN CLINIC LLC

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

## Provider details

- **NPI number:** 1740504315
- **Authorized official:** MS. CINDY HAYES (DIRECTOR OF PHYSICIAN SERVICES)
- **Authorized official phone:** (574) 523-3227

## Contact information

- **Practice address:** 1028 E WATERFORD ST, SUITE A, WAKARUSA, IN 46573-9305
- **Practice address phone:** (574) 523-3227
- **Practice address fax:** (574) 296-6522
- **Mailing address:** PO BOX 386, WAKARUSA, IN 46573-0386
- **Mailing address phone:** (574) 523-3227
- **Mailing address fax:** (574) 296-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 01015929A | IN | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | 01015929A | IN | — |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 04/18/2011