Organization
HEALTHLINC, INC.
Active
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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