Family Life Clinic

LBN: Family Life Clinic, Pc
Family Life Clinic is an health care organization with primary practice located at 111 W 10Th St Suite 101, Hobart IN 46342-5990. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Life Clinic, Pc can be contacted via phone (219) 947-0797, or through Baker, Paula via phone (219) 947-0797.

Contact Information

Primary practice address
111 W 10Th St Suite 101 Hobart IN 46342-5990
Fax: (219) 942-6243
Website:
Authorized official contact:
Name: Baker, Paula

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01050865A Indiana

Profile Details

NPI number 1558361592
LBN Legal business name Family Life Clinic, Pc
DBA Doing business as Family Life Clinic
Authorized official Baker, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Sep 20th, 2010 - about 14 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 1558361592 NPPES
Indiana MEDICAID 200251650

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