HEALTHLINC, INC. (NPI# 1184069569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184069569 |
| Entity Type | Organization |
| Organization Name | HEALTHLINC, INC. |
| Other Organization Name | HEALTHLINC - EAST CHICAGO |
| Practice Address |
1313 W Chicago Ave East Chicago IN 46312 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 2193989685 |
| Practice Fax Number | 2193989695 |
| Mailing Telephone | 2194135100 |
| Mailing Fax Number | 2194659507 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | SHIRLEY A ROLL (ENROLLMENT) |
| Authorized Official Telephone | 3174727396 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHLINC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
H80CS06662 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200317310F | 05 |
| Other Name | Type Code |
|---|---|
| HealthLinc - East Chicago | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1215487608 | Healthlinc, Inc. | Clinic/Center | 710 Franklin St Ste 200, Michigan City, IN 46360-3564 | 2016-10-10 |
| 1871985358 | Healthlinc, Inc. | Eyewear Supplier (Equipment, not the service) | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2015-02-20 |
| 1417244989 | Healthlinc, Inc. | Clinic/Center | 420 W 4th St, Mishawaka, IN 46544 | 2011-07-06 |
| 1023288032 | Healthlinc, Inc. | Clinic/Center | 701 Wall St, Valparaiso, IN 46383 | 2008-03-05 |
| 1013105568 | Healthlinc, Inc. | Clinic/Center | 710 Franklin St Ste 200, Michigan City, IN 46360 | 2007-10-10 |
| 1528262581 | Healthlinc, Inc. | Clinic/Center | 1001 Sturdy Rd, Valparaiso, IN 46383 | 2007-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHLINC, INC. | 2401 Valley Dr, Valparaiso, IN 46383-2520 |
| Street Address |
1313 W CHICAGO AVE |
| City | EAST CHICAGO |
| State | IN |
| Zip Code | 46312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700827128 | Carl Benjamin Toren | Pediatrics | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2006-06-09 |
| 1871073478 | Trista Wyman | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2018-08-14 |
| 1598281487 | Nadine Salman | Registered Nurse | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2017-08-22 |
| 1730564246 | Ahmed S Hassan | Internal Medicine | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2015-07-26 |
| 1518349497 | Firas Adhami | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312 | 2015-06-26 |
| 1497094304 | Charita Anne Weekly | Nurse Practitioner | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2013-02-13 |
| 1780936344 | Stefani Alexander | Registered Nurse | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2012-10-08 |
| 1699074633 | Kool Smiles In-3, PC | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2011-03-16 |
| 1386950566 | Diana Garcia Burns | Nurse Practitioner | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2010-08-25 |
| 1508186925 | Sonya Marie Williams | Obstetrics & Gynecology | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1932663051 | Melissa Lynn Del Rosario | Registered Nurse | St. Catherine Hospital, 4321 Fir St, East Chicago, IN 46312 | 2019-01-23 |
| 1851896013 | Scot Eric West | Registered Nurse | 4320 Fir St Unit 217, East Chicago, IN 46312 | 2018-03-28 |
| 1528598380 | Wellnes for Life | Clinic/Center | 1401 144th St, East Chicago, IN 46312 | 2017-06-14 |
| 1992116305 | Familia Dental Ec LLC | Dentist | 4624a Magoun Avenue, East Chicago, IN 46312 | 2014-05-20 |
| 1821415076 | Ericka Rouse | Counselor | 901 West Chicago Ave., East Chicago, IN 46312 | 2014-03-26 |
| 1568806057 | St. Catherine Hospital Inc. | Pharmacy | 4321 Fir St., East Chicago, IN 46312 | 2013-04-26 |
| 1275882185 | Planned Parenthood of Indiana East Chicago | Clinic/Center | 3931 Main Street, East Chicago, IN 46312 | 2012-09-06 |
| 1851417356 | Deborah Ann Duda | Nurse Practitioner | 1155 E Alexis, Toledo, OH 46312 | 2007-03-22 |
| 1255457826 | Major Hospital | Skilled Nursing Facility | 5025 Mccook Ave, East Chicago, IN 46312 | 2007-03-22 |
| Find all providers in zip 46312 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944058 | 219 Health Network Inc | Clinic/Center | 1802 E Columbus Dr, East Chicago, IN 46312-2826 | 2020-02-18 |
| 1225661234 | 219 Health Network Inc | Clinic/Center | 4320 Fir St Unit 208, East Chicago, IN 46312-8410 | 2020-02-18 |
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1578105490 | 219 Health Network Inc | Clinic/Center | 2001 E Columbus Dr, East Chicago, IN 46312-4109 | 2019-10-11 |
| 1366083776 | 219 Health Network Inc | Clinic/Center | 2020 E Columbus Dr Ste A, East Chicago, IN 46312-2830 | 2019-10-07 |
| 1285298067 | Chikare Health System PC | Clinic/Center | 915 W Chicago Ave, East Chicago, IN 46312-3308 | 2019-04-26 |
| 1770045098 | 219 Health Network Inc | Clinic/Center | 525 W Chicago Ave, East Chicago, IN 46312-3206 | 2019-04-04 |
| 1265994636 | 219 Health Network Inc | Clinic/Center | 100 W Chicago Ave Ste F, East Chicago, IN 46312-3261 | 2019-04-03 |
| 1376919217 | Southlake Community Mental Health Center, Inc | Clinic/Center | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2015-08-14 |
| 1639453871 | East Chicago Community Health Center | Clinic/Center | 3903 Indianapolis Blvd, East Chicago Community Health Center At Regional, East Chicago, IN 46312-0000 | 2011-10-06 |
| Find all providers in EAST CHICAGO | ||||
| City | EAST CHICAGO |
| Zip Code | 46312 |
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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.