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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