NPIMap

Organization Active NPI

Healthpartners Medical Group, LLC

Doing business as HealthPartners

  • Multi-Specialty Clinic/Center
  • Michigan City, IN
National Provider Identifier
1013014158
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALTHPARTNERS MEDICAL GROUP, LLC
Doing business as
HealthPartners
Practice address
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone
(219) 879-6531
Fax
(219) 878-5015
NPI assigned
Sep 20, 2006
Last updated
Jul 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Keller
Title
Director
Phone
(219) 873-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

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 names 1

  • HealthPartners Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

35294 Eagle Way
Chicago, IL 60678

35682 Eagle Way
Chicago, IL 60678

810 Michael Dr
Ste J
Chesterton, IN 46304

1225 E Coolspring Ave
Ste 2E
Michigan City, IN 46360
Phone (219) 878-5014

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1013014158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35682 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781356",
            "telephone_number": "219-879-6531",
            "fax_number": "219-872-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-879-6531",
            "fax_number": "219-878-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPARTNERS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-873-2905"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.