Wanee Walk In Clinic Llc

LBN: Wanee Walk In Clinic Llc
Wanee Walk In Clinic Llc is an health care organization with primary practice located at 1028 E Waterford St Suite A, Wakarusa IN 46573-9305. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Wanee Walk In Clinic Llc can be contacted via phone (574) 523-3227, or through Hayes, Cindy via phone (574) 523-3227.

Contact Information

Primary practice address
1028 E Waterford St Suite A Wakarusa IN 46573-9305
Fax: (574) 296-6522
Website:
Authorized official contact:
Name: Hayes, Cindy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 01015929A Indiana
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 01015929A Indiana

Profile Details

NPI number 1740504315
LBN Legal business name Wanee Walk In Clinic Llc
DBA Doing business as
Authorized official Hayes, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2010
Last updated Apr 18th, 2011 - 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 1740504315 NPPES
Indiana MEDICAID 200982600A

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