HEALTHLINC, INC (NPI# 1164958427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164958427 |
| Entity Type | Organization |
| Organization Name | HEALTHLINC, INC |
| Other Organization Name | HEALTHY VIKES CLINIC |
| Practice Address |
1600 Roosevelt Rd Nurses Office Valparaiso IN 46383-3738 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 2194627173 |
| Mailing Telephone | 2194776082 |
| Mailing Fax Number | 2194659507 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | BETH WROBEL (CEO) |
| Authorized Official Telephone | 2194659500 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHINC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HEALTHLINC TJ TELEHEALTH (HEALTHY VIKES CLINIC) | Doing Business As Name - Organization |
| HEALTHY VIKES CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155291 | Healthlinc, Inc | Counselor | 5998 N 750 E Rm 143, Hamlet, IN 46532-9524 | 2017-06-29 |
| 1639498041 | Healthlinc, Inc | Community Health Worker | 454 S College Ave, Valparaiso, IN 46383-6512 | 2010-05-25 |
| 1538728399 | Healthlinc, Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-06-06 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1972071769 | Healthlinc, Inc | Clinic/Center | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-11-09 |
| 1811465602 | Healthlinc, Inc | Clinic/Center | 1708 High St, South Bend, IN 46613-2633 | 2018-11-09 |
| 1790158244 | Healthlinc, Inc | Clinic/Center | 1960 Northside Boulevard, South Bend, IN 46615 | 2015-11-05 |
| 1801063268 | Healthlinc, Inc | Clinic/Center | 104 E Culver Rd, Suite 106, Knox, IN 46534 | 2008-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHLINC, INC. | 2401 Valley Dr, Valparaiso, IN 46383-2520 |
| Street Address |
1600 ROOSEVELT RD NURSES OFFICE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435094 | Mid-america Mental Health LLC | Family Medicine | 402 Wall St., Ste 23, Valparaiso, IN 46383-2567 | 2016-09-15 |
| 1265826887 | Gerald Ronneau | Family Medicine | 92 E 700 N, Valparaiso, IN 46383-8908 | 2015-03-20 |
| 1427477413 | Christopher Michael Osan | Family Medicine | 3800 Saint Mary Rd Ste 205, Valparaiso, IN 46383-3986 | 2014-04-07 |
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| 1770748717 | Derek Scott Gasper | Family Medicine | 1101 Glendale Blvd Ste 102a, Valparaiso, IN 46383-3767 | 2008-07-18 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1093937963 | Emerald Coast Family Medicine Inc | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 | 2007-05-02 |
| 1770518664 | Sudhakar Garlapati | Family Medicine | 401 Wall St, Valparaiso, IN 46383-2521 | 2006-07-11 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1174562656 | Joel Mark Schumacher | Family Medicine | 1105 Cumberland Xing, Valparaiso, IN 46383-2356 | 2006-06-06 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.