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Organization

HEALTHLINC, INC.

Active
Parent organization
HEALTHLINC, INC.
Other names
HealthLinc - South Bend Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTHLINC, INC.
Authorized official
MELISSA MITCHELL (CEO)
(219) 465-9503
Entity
Organization

Contact information

Practice address
1002 S ESTHER ST, SOUTH BEND, IN 46615
(219) 477-6082
(219) 465-9502
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 465-9507

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193380
MEDICARE
IN
05
200317310G
IN
Enumeration date
06/12/2015
Last updated
01/12/2024
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