MIDWEST EXPRESS CARE 4, LLC (NPI# 1154921294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154921294 |
| Entity Type | Organization |
| Organization Name | MIDWEST EXPRESS CARE 4, LLC |
| Practice Address |
6131 Us Highway 6 Ste C Portage IN 46368-5058 |
| Mailing Address |
Po Box 775342 Chicago IL 60677-5342 |
| Practice Telephone | 2198418788 |
| Mailing Telephone | 2198418788 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MILAP SHAH (OWNER) |
| Authorized Official Telephone | 2198028800 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST EXPRESS CARE 4, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134788581 | Midwest Express Care 4, LLC | Clinic/Center | 875 Joliet St, Dyer, IN 46311-1920 | 2019-06-10 |
| Street Address |
6131 US HIGHWAY 6 STE C |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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|---|---|---|---|---|
| 1063804995 | Christian Global Medical Healthcare Incorporated | Clinic/Center | 451 W Milham Ave, Portage, MI 49024-2721 | 2015-03-02 |
| 1841621299 | Christian Global Medical Healthcare, Incorporated | Clinic/Center | 451 W Milham Ave, Portage, MI 49024-2721 | 2013-12-11 |
| 1881999464 | Borgess Medical Center | Clinic/Center | 7901 Angling Rd, Portage, MI 49024-0714 | 2011-01-13 |
| 1417130154 | Ascension Borgess Hospital | Clinic/Center | 7901 Angling Rd, Portage, MI 49024-0714 | 2007-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349540 | Heart of Families LLC | Clinic/Center | 10435 Woodfield Pl, Fort Wayne, IN 46835-9750 | 2020-02-24 |
| 1619536067 | Midwest Express Care 4 LLC | Clinic/Center | 5043 E 81st Ave, Merrillville, IN 46410-5912 | 2019-06-10 |
| 1053807990 | American Currenct Care P.a. | Clinic/Center | 4125 W Clara Ln, Muncie, IN 47304-5466 | 2018-07-03 |
| 1942796883 | American Currenct Care P.a. | Clinic/Center | 11580 Overlook Dr Ste 100, Fishers, IN 46037-4221 | 2018-07-03 |
| 1396231239 | American Currenct Care P.a. | Clinic/Center | 5603 W Raymond St Ste A-d, Indianapolis, IN 46241-4364 | 2018-07-03 |
| 1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-03 |
| 1023504966 | American Currenct Care P.a. | Clinic/Center | 1311 N Shadeland Ave Ste E-j, Indianapolis, IN 46219-3660 | 2018-07-03 |
| 1922594860 | American Currenct Care P.a. | Clinic/Center | 4850 Century Plaza Rd Ste 100, Indianapolis, IN 46254-5477 | 2018-07-03 |
| 1780170621 | American Currenct Care P.a. | Clinic/Center | 7301 Georgetown Rd Ste 109-111, Indianapolis, IN 46268-5124 | 2018-07-03 |
| 1649770769 | Fast Pace Medical Clinic Pllc | Clinic/Center | 4152 W State Road, Hanover, IN 47243 | 2018-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.