Dedicated Family Health

LBN: Dedicated Family Health
Dedicated Family Health is an health care organization with primary practice located at 117 N Main St , Hebron IN 46341-8971. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Dedicated Family Health can be contacted via phone (219) 509-3383, or through Walter, Colette H via phone (219) 509-3383.

Contact Information

Primary practice address
117 N Main St Hebron IN 46341-8971
Phone: (219) 509-3383
Fax: (219) 509-3389
Website:
Map and Directions
Authorized official contact:
Name: Walter, Colette H Nurse Practitioner (NP)
Phone: (219) 509-3383

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1144797986
LBN Legal business name Dedicated Family Health
DBA Doing business as
Authorized official Walter, Colette H Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2018
Last updated Apr 16th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144797986 NPPES
Indiana Other 1144797986 NPI 2
Indiana MEDICAID 201180370 NPI 2

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