# MIDWEST EXPRESS CARE 4 LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962249839
- **Authorized official:** JENNIFER BATY (CC SPECIALIST LEAD)
- **Authorized official phone:** (605) 789-6574

## Contact information

- **Practice address:** 5995 US HIGHWAY 6, PORTAGE, IN 46368-4945
- **Practice address phone:** (219) 963-8234
- **Practice address fax:** (219) 444-4504
- **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