Michael A. Woods

LBN: Maw Medicine Pc
Michael A. Woods is an health care organization with primary practice located at 802 Laporte Ave Suite 102, Valparaiso IN 46383-5860. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Maw Medicine Pc can be contacted via phone (219) 477-5242, or through Woods, Jackie via phone (219) 689-6637.

Contact Information

Primary practice address
802 Laporte Ave Suite 102 Valparaiso IN 46383-5860
Phone: (219) 477-5242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woods, Jackie
Phone: (219) 689-6637

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 01048590A Indiana

Profile Details

NPI number 1013191139
LBN Legal business name Maw Medicine Pc
DBA Doing business as Michael A. Woods
Authorized official Woods, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 15th, 2013 - about 13 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 1013191139 NPPES
Other DE3546 RAILROAD MEDICARE
Other 1225130867 RAILROAD MEDICARE
MEDICAID 200203200 RAILROAD MEDICARE

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