Organization
TRANSMED ASSOCIATES, INC.
Active
Other names
MaxCare Bionics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBUR A HAINES CPO (PRESIDENT)
(317) 272-9993
Entity
Organization
Contact information
Practice address
2853 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 489-2727
(260) 489-2777
Mailing address
2853 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 489-2727
(260) 489-2777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097057
ANTHEM BC PROVIDER ID
IN
05
—
200030800A
—
IN
01
—
57109
NORTHWOOD PROVIDER ID
IN
Enumeration date
11/18/2005
Last updated
07/08/2009
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