OURHEALTH PROFESSIONAL PHYSICIAN GROUP LLC NPI 1962837393

NPI Information

NPI: 1962837393
Provider Name: OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC

Other Name: BENDIX HEALTH CENTER - HUNTINGTON

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 15D2065258

Address:
1850 RIVERFORK DR
C/O BENDIX HEALTH CENTER
HUNTINGTON, IN
ZIP 46750
Phone: (260) 200-1310
Get Directions

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC is a family nurse practitioner in Huntington, IN. OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC NPI is 1962837393. The provider is registered as an organization entity type.
The provider Other Name Is Bendix Health Center - Huntington.

The provider's business location address is:

1850 RIVERFORK DR
C/O BENDIX HEALTH CENTER
HUNTINGTON, IN
ZIP 46750-004
Phone: (260) 200-1310

The provider's authorized official is Jeffrey Michael Wells .
The authorized official title is Ceo and has the following contact phone number (317) 522-0823.

The CLIA number assigned to this NPI record is 15D2065258 - other - onsite health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 11/16/2023.

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	332900000X	Non-Pharmacy Dispensing Site				No
2	363LF0000X	Nurse Practitioner	Family	71004183A	INDIANA	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »