1659445286 NPI number — PORTER COUNTY PHYSICAL MED REHAB

Table of content: (NPI 1659445286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659445286 NPI number — PORTER COUNTY PHYSICAL MED REHAB

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PORTER COUNTY PHYSICAL MED REHAB
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659445286
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2600 N ROOSEVELT ROAD
Provider Second Line Business Mailing Address:
STE 200 3
Provider Business Mailing Address City Name:
VALPARAISO
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46383-0970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-548-3828
Provider Business Mailing Address Fax Number:
219-548-3803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 N ROOSEVELT ROAD
Provider Second Line Business Practice Location Address:
STE 200 3
Provider Business Practice Location Address City Name:
VALPARAISO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46383-0970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-548-3828
Provider Business Practice Location Address Fax Number:
219-548-3803
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAYES
Authorized Official First Name:
LISA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
INS COORDINATOR
Authorized Official Telephone Number:
219-548-3828

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  05003279A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000356528 . This is a "GROUP NUMBER BCBS" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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