NWI URGENT CARE LLC NPI 1043596703

NPI Information

NPI: 1043596703
Provider Name: NWI URGENT CARE, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 15D2033526

Address:
8135 CALUMET AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 513-2000
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NWI URGENT CARE, LLC is an urgent care clinic center in Munster, IN. NWI URGENT CARE, LLC NPI is 1043596703. The provider is registered as an organization entity type.

The provider's business location address is:

8135 CALUMET AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 513-2000
Fax: (219) 513-2001

The provider's authorized official is Milap Shah .
The authorized official title is Ao and has the following contact phone number (630) 581-5372.

The CLIA number assigned to this NPI record is 15D2033526 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2011 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QU0200X	Clinic/Center	Urgent Care	02003711A	INDIANA	No
3	207Q00000X	Family Medicine				No
4	261QU0200X	Clinic/Center	Urgent Care	01041056A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201053130	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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