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Organization
HOOSIER HEALTHCARE LLC
Active
Organization
HOOSIER HEALTHCARE LLC
Active
Other names
HealtheACCESS Clinics, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KIGER MBA (CEO)
(219) 464-7073
Entity
Organization
Contact information
Practice address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662
(219) 787-8420
Mailing address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662
(219) 787-8420
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
1736001
IN
261QP2300X
Primary Care Clinic/Center
1736001
IN
261QX0100X
Occupational Medicine Clinic/Center
Primary
1736001
IN
Other
Enumeration date
09/09/2010
Last updated
05/16/2013
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