Active NPI
Midwest Express Care 4 LLC
- Urgent Care Clinic/Center
- Michigan City, IN
National Provider Identifier
1083354005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MIDWEST EXPRESS CARE 4 LLC
- Practice address
- 3939 Franklin St
Michigan City, IN 46360-7397 - Phone
- (219) 878-5850
- Fax
- (219) 878-5854
- NPI assigned
- Mar 29, 2022
- Organization subpart
- Yes
- Parent organization
- MIDWEST EXPRESS CARE 4 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milap Shah
- Title
- Owner
- Phone
- (219) 802-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
3939 Franklin St
Michigan City, IN 46360-7397
Mailing address
PO Box 775342
Chicago, IL 60677-5342
Phone (219) 878-5850
Other names 1
- Midwest Express Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2255126 | Midwest Express Care 4, LLC | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider Directory- Part of
- Midwest Express Care 4 LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1083354005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775342",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606775342",
"telephone_number": "219-878-5850",
"fax_number": "219-878-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607397",
"telephone_number": "219-878-5850",
"fax_number": "219-878-5854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EXPRESS CARE 4 LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 4 LLC",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MILAP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-802-8800"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Express Clinic",
"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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.