Organization
HOOSIER HEALTHCARE LLC
Active
Other names
HealtheACCESS Clinics, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KIGER MBA (CEO)
(219) 464-7073
Entity
Organization
Contact information
Practice address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662
(219) 787-8420
Mailing address
6615 S BOUNDARY RD, PORTAGE, IN 46368-1373
(219) 787-8662
(219) 787-8420
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
1736001
IN
261QP2300X
Primary Care Clinic/Center
1736001
IN
261QX0100X
Occupational Medicine Clinic/Center
Primary
1736001
IN
Other
Enumeration date
09/09/2010
Last updated
05/16/2013
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