HEALTHLINC, INC (NPI# 1801063268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801063268 |
| Entity Type | Organization |
| Organization Name | HEALTHLINC, INC |
| Other Organization Name | HEALTHLINC - KNOX |
| Practice Address |
104 E Culver Rd Suite 106 Knox IN 46534 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 5747727400 |
| Practice Fax Number | 5747720299 |
| Mailing Telephone | 2194135100 |
| Mailing Fax Number | 2164659507 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2018-06-06 |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200317310D | 05 |
| Other Name | Type Code |
|---|---|
| HealthLinc - Knox | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155291 | Healthlinc, Inc | Counselor | 5998 N 750 E Rm 143, Hamlet, IN 46532-9524 | 2017-06-29 |
| 1164958427 | Healthlinc, Inc | Counselor | 1600 Roosevelt Rd, Nurses Office, Valparaiso, IN 46383-3738 | 2017-05-05 |
| 1639498041 | Healthlinc, Inc | Community Health Worker | 454 S College Ave, Valparaiso, IN 46383-6512 | 2010-05-25 |
| 1538728399 | Healthlinc, Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-06-06 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1972071769 | Healthlinc, Inc | Clinic/Center | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-11-09 |
| 1811465602 | Healthlinc, Inc | Clinic/Center | 1708 High St, South Bend, IN 46613-2633 | 2018-11-09 |
| 1790158244 | Healthlinc, Inc | Clinic/Center | 1960 Northside Boulevard, South Bend, IN 46615 | 2015-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHLINC, INC. | 2401 Valley Dr, Valparaiso, IN 46383-2520 |
| Street Address |
104 E CULVER RD SUITE 106 |
| City | KNOX |
| State | IN |
| Zip Code | 46534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1770936965 | La Porte Clinic Company LLC | Clinic/Center | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2016-07-22 |
| 1114385879 | Brooke V Butler | Nurse Practitioner | 104 E Culver Rd, 106, Knox, IN 46534-2241 | 2016-02-09 |
| 1831522085 | Nikkole Renee Chambers | Nurse Practitioner | 104 E Culver Rd, Knox, IN 46534-2241 | 2013-08-12 |
| 1598054934 | Rafal Ryszard Kurzawa | Family Medicine | 104 E Culver Rd, Ste. 106, Knox, IN 46534-2241 | 2011-04-06 |
| 1205067816 | Cni Starke, LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2009-07-30 |
| 1821281460 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2216 | 2007-08-27 |
| 1790805125 | Starke Physician Practices LLC | Surgery | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2007-03-30 |
| 1194771113 | Mangalore Jairam Subbarao | Surgery | 104 E Culver Rd, Suite 102, Knox, IN 46534-2241 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304896 | Rocky Mountain Holdings, LLC | Ambulance | 1795 N 200 E, Knox, IN 46534 | 2017-09-08 |
| 1275918476 | Kimberly R Welsh | Social Worker | 2 S. Pearl Street, Knox, IN 46534 | 2015-07-29 |
| 1013300797 | Michelle Burbank | Social Worker | 1001 Edgewood Dr. Suite 1, Knox, IN 46534 | 2015-03-05 |
| 1649598392 | Dennis George Ogilvie | Dentist | 1191 A South Heaton, Knox, IN 46534 | 2010-05-05 |
| 1790827707 | Knox Community School Corporation | Local Education Agency (LEA) | #2 Redskin Trail, Knox, IN 46534 | 2007-02-13 |
| 1225100787 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 2602 South U.S. 35, Knox, IN 46534 | 2006-11-13 |
| 1437184199 | Liberty Dialysis - Duneland LLC | Clinic/Center | 1008 Edgewood Drive, Knox, IN 46534 | 2006-07-11 |
| 1881634566 | Elizabeth A Wetzel | Family Medicine | 2 S Pearl St, Knox, IN 46534 | 2006-06-08 |
| 1386602910 | Cameron R Gilbert | Psychologist | 1901 S Heaton St, Knox, IN 46534 | 2006-05-03 |
| 1841364429 | Gregory J. Wittig | Dentist | 1800 S. U.S. 35, Knox, IN 46534-0152 | 2006-11-17 |
| Find all providers in zip 46534 | ||||
| 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.