Organization
MOBILE HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL F. WIPPERMAN RT (OWNER)
(219) 872-7799
Entity
Organization
Contact information
Practice address
4511 N JOHNSON RD, MICHIGAN CITY, IN 46360-7675
(219) 872-7799
(219) 872-8060
Mailing address
4511 N JOHNSON RD, MICHIGAN CITY, IN 46360-7675
(219) 872-7799
(219) 872-8060
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
XF200506
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175431
ANTHEM BLUE CROSS & BLUE
IN
05
—
100165050A
—
IN
05
—
100165050B
—
IN
01
—
630000140
UNITED HEALTH CARE
IN
01
—
P00168382
RAILROAD MEDICARE
IN
Enumeration date
02/13/2006
Last updated
03/17/2009
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