HEALTHLINC, INC. (NPI# 1417244989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244989 |
| Entity Type | Organization |
| Organization Name | HEALTHLINC, INC. |
| Other Organization Name | HEALTHLINC - MISHAWAKA |
| Practice Address |
420 W 4th St Mishawaka IN 46544 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 5743077673 |
| Practice Fax Number | 5743077692 |
| Mailing Telephone | 2194135100 |
| Mailing Fax Number | 2194659507 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-06-08 |
| 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 | 200317310E | 05 |
| Other Name | Type Code |
|---|---|
| HealthLinc - Mishawaka | Other Name - Individual/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 |
| 1184069569 | Healthlinc, Inc. | Clinic/Center | 1313 W Chicago Ave, East Chicago, IN 46312 | 2013-04-30 |
| 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 |
420 W 4TH ST |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043266653 | Dale Dennis Deardorff | Family Medicine | 420 W 4th St, Suite 180, Mishawaka, IN 46544-1948 | 2006-05-25 |
| 1952913279 | Joshua Daniel Avery | Nurse Practitioner | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-08-18 |
| 1013546266 | Monica A Rivers | Pharmacist | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-04-08 |
| 1740811264 | Kristen Michelle Bessler | Pharmacist | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-02-03 |
| 1922648476 | Healthlinc Pharmacy LLC | Pharmacy | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-01-13 |
| 1275041865 | Samantha Lynn Jester | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2018-01-17 |
| 1851748693 | Erica Garrett | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2016-05-23 |
| 1104281583 | Ashley Marie Thiele | Internal Medicine | 420 W 4th St, Mishawaka, IN 46544-1948 | 2015-12-29 |
| 1023487428 | Jana Schenkel | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2015-09-16 |
| 1306241187 | Debra Ellen Neubauer | Registered Nurse | 420 W 4th St, Mishawaka, IN 46544-1948 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1548861313 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 5th Ave, Gary, IN 46402-1723 | 2020-11-06 |
| 1205446259 | Hamilton Center Inc. | Clinic/Center | 622 8th Avenue, Terre Haute, IN 47804-4780 | 2020-08-05 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1316573413 | Meridian Health Services Corp. | Clinic/Center | 1601 E 26th St # 6, Muncie, IN 47302-5808 | 2020-03-20 |
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1023642576 | Southlake Community Mental Health Center Inc. | Clinic/Center | 2250 173rd St Ste 111, Hammond, IN 46323-2074 | 2020-02-24 |
| 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 |
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHLINC, INC..
| 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.