Organization
OCAMPO MEDICAL CENTERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINA V OCAMPO M.D. (PRESIDENT)
(219) 922-6911
Entity
Organization
Contact information
Practice address
3100 - 45 TH ST., SUITE # 3, HIGHLAND, IN 46322-3289
(219) 922-6911
(219) 922-6968
Mailing address
3100 - 45 TH ST., SUITE # 3, HIGHLAND, IN 46322-3289
(219) 922-6911
(219) 922-6968
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
O1058122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454910A
—
IN
Enumeration date
08/29/2006
Last updated
05/06/2009
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