PIC INDIANA PC NPI 1942546890

NPI Information

NPI: 1942546890
Provider Name: PIC INDIANA PC

Doing Business As: PHYSICIANS URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
505 W CLEVELAND RD
MISHAWAKA, IN
ZIP 46545
Phone: (815) 713-2600
Get Directions

PIC INDIANA PC is an urgent care clinic center in Mishawaka, IN. PIC INDIANA PC NPI is 1942546890. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Urgent Care.

The provider's business location address is:

505 W CLEVELAND RD
MISHAWAKA, IN
ZIP 46545-003
Phone: (815) 713-2600

The provider's authorized official is John Koehler .
The authorized official title is Md/owner and has the following contact phone number (815) 713-2600.

The enumeration date for this NPI number is 12/21/2012 and was last updated on 2/6/2024.

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	261QU0200X	Clinic/Center	Urgent Care			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	201186520	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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