REDI-CARE INC P C NPI 1790896611

NPI Information

NPI: 1790896611
Provider Name: REDI-CARE INC P C

Former Legal Business Name: DARYL L. HERSHBERGER, M.D.

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2120 N DETROIT ST
LAGRANGE, IN
ZIP 46761
Phone: (260) 463-2468
Get Directions

REDI-CARE INC P C is a rural health clinic center in Lagrange, IN. REDI-CARE INC P C NPI is 1790896611. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Daryl L. Hershberger, M.d..

The provider's business location address is:

2120 N DETROIT ST
LAGRANGE, IN
ZIP 46761-147
Phone: (260) 463-2468
Fax: (260) 463-4237

The provider's authorized official is Daryl L. Hershberger .
The authorized official title is Owner and has the following contact phone number (260) 463-2468.

The CLIA number assigned to this NPI record is 15D0684642 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/27/2022.

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	261QR1300X	Clinic/Center	Rural Health	01037748A	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	4909200001	OTHER	INDIANA	DMERC
2	P00249946	OTHER	INDIANA	RAILROAD MEDICARE
3	000000299462	OTHER	INDIANA	ANTHEM
4	308606708	OTHER	INDIANA	TRICARE
5	200108370A	MEDICAID	INDIANA
6	8757	OTHER	INDIANA	PHP

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

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