HEALTHLINC, INC (NPI# 1811465602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811465602 |
| Entity Type | Organization |
| Organization Name | HEALTHLINC, INC |
| Practice Address |
1708 High St South Bend IN 46613-2633 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 2194135100 |
| Practice Fax Number | 2194659507 |
| Mailing Telephone | 2194135100 |
| Mailing Fax Number | 2194659502 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | SHIRLEY A ROLL (ENROLLMENT MGR) |
| 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 |
| 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 |
| 1790158244 | Healthlinc, Inc | Clinic/Center | 1960 Northside Boulevard, South Bend, IN 46615 | 2015-11-05 |
| 1801063268 | Healthlinc, Inc | Clinic/Center | 104 E Culver Rd, Suite 106, Knox, IN 46534 | 2008-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHLINC, INC. | 2401 Valley Dr, Valparaiso, IN 46383-2520 |
| Street Address |
1708 HIGH ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46613-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763409 | Patricia Ann Corbett | Nurse Practitioner | 1708 High St, South Bend, IN 46613-2633 | 2005-10-06 |
| 1528358405 | Luann Marie Tracey | Nurse Practitioner | 1708 High St, South Bend, IN 46613-2633 | 2011-04-13 |
| 1013948348 | Jon Andrew Shull | Family Medicine | 1708 High St, South Bend, IN 46613-2633 | 2006-07-05 |
| 1437100161 | Beacon Medical Group, Inc. | Family Medicine | 1708 High St, South Bend, IN 46613-2633 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730330721 | Mindy Lynne Gradeless | Social Worker | 229 East Ewing Avenue, South Bend, IN 46613 | 2008-10-08 |
| 1689836405 | Staci-marie Balog Norman | Pharmacist | 760 West Cotter Street, South Bend, IN 46613 | 2008-07-02 |
| 1659386779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1945 Lincolnway East, South Bend, IN 46613 | 2006-07-29 |
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 2007-05-23 |
| 1366702060 | Clara M Davis | Private Vehicle | 1719 W Dubail St, South Bend, IN 46613-1216 | 2012-05-29 |
| 1215923313 | Gregory Matthew Ferro | Family Medicine | 1832 Prairie Ave, South Bend, IN 46613-1400 | 2005-09-23 |
| 1508330002 | Homeworks Construction Inc | Durable Medical Equipment & Medical Supplies | 1511 Pulaski St, South Bend, IN 46613-1404 | 2019-01-17 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| Find all providers in zip 46613 | ||||
| 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 |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1972071769 | Healthlinc, Inc | Clinic/Center | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-11-09 |
| 1790158244 | Healthlinc, Inc | Clinic/Center | 1960 Northside Boulevard, South Bend, IN 46615 | 2015-11-05 |
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|---|---|---|---|---|
| 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 | ||||
| City | SOUTH BEND |
| Zip Code | 46613 |
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.