Organization
MIDWEST EXPRESS CARE 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BATY (CC SPECIALIST LEAD)
(605) 789-6574
Entity
Organization
Contact information
Practice address
5995 US HIGHWAY 6, PORTAGE, IN 46368-4945
(219) 963-8234
(219) 444-4504
Mailing address
PO BOX 775342, CHICAGO, IL 60677-5342
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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