Healthpartners Medical Group, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Michigan City, IN
NPI 1013014158 · NPPES record last updated Jul 5, 2011
Key facts
- NPI
- 1013014158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- HEALTHPARTNERS MEDICAL GROUP, LLC
- Practice address
- 1225 E Coolspring Ave
Michigan City, IN 46360-6312 - Phone
- (219) 879-6531
- Fax
- (219) 878-5015
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Keller
- Title
- Director
- Phone
- (219) 873-2905
Subparts reporting this organization as parent 1
Member of 1
Practitioners 11
-
Carolyn Mae Blouir, FNP-C
-
Janice Englander Katz, PH. D., H.S.P.P.
-
John S Kelly, MD
-
Monica L Lorimer, M.D.
-
Alfredo Pamintuan, M.D.
-
Jeffrey Samelson, PHD
-
Danny C Sardon, MD
-
Patricia Schmidt, WHNP
National Provider Directory
Locations
810 Michael Dr
Ste J
Chesterton, IN 46304
1225 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 873-2919
1507 Wabash St
Ste 400B
Michigan City, IN 46360
Phone (219) 872-7555
500 W Buffalo St
Fl 2
New Buffalo, MI 49117
Phone (269) 469-0589
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Mailing address
35682 Eagle Way
Chicago, IL 60678-1356
Phone (219) 879-6531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6703 | Other | RR MEDICARE | |
| 200489550 | Medicaid | IN | |
| 000000347031 | Other | IN | ANTHEM |
Other names
- HealthPartners
Other providers in Michigan City, IN
- Michael J Hayduk
- Laurie Hayes
- Healthlinc Pharmacy, LLC
- Healthlinc, Inc.
- Healthlinc, Inc.
- Helping Hands in-Home Care, Inc
- Jacqueline Henderson
- Justin Richard Henderson
- Hendricks County Hospital
- Jeff Hendricks
All providers in Michigan City, IN · Multi-Specialty Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.