Organization Active NPI

Franciscan Physician Network

Doing business as Franciscan Immediate Care

  • Urgent Care Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1366879009
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FRANCISCAN PHYSICIAN NETWORK
Doing business as
Franciscan Immediate Care
Practice address
1515 W Dragoon TRL
Mishawaka, IN 46544-4710
Phone
(574) 254-6253
NPI assigned
Sep 26, 2013
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Donna Phalen
Title
Corporate Director Charge Capture
Phone
(219) 554-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1515 W Dragoon TRL
Mishawaka, IN 46544-4710

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other names 1

  • Franciscan Immediate Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110608000486 IN Part B Supplier - Clinic/Group Practice 3072790682 Receives reassigned benefits from 1,453 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

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

Locations

12188 N Meridian St
#270
Carmel, IN 46032

770 Indian Boundary Rd
Ste 200
Chesterton, IN 46304
Phone (219) 872-6566

2056 Lebanon Rd
Crawfordsville, IN 47933
Phone (765) 361-9923

24 Joliet St
Unit 302
Dyer, IN 46311
Phone (219) 852-2518

1001 N Madison Ave
Greenwood, IN 46142
Phone (317) 528-7500

5500 Hohman Ave
Ste 3A
Hammond, IN 46320
Phone (219) 852-2513

5230 E Stop 11 Rd
Ste 150
Indianapolis, IN 46237
Phone (317) 885-3793

1225 E Coolspring Ave
Ste 1C
Michigan City, IN 46360
Phone (217) 873-2996

1501 Wabash St
Michigan City, IN 46360
Phone (219) 874-8711

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

1515 W Dragoon Trl
Mishawaka, IN 46544
Phone (574) 254-6253

1205 Hadley Rd
Ste 220
Mooresville, IN 46158
Phone (317) 781-7344

3283 Willowcreek Rd
Portage, IN 46368
Phone (219) 764-8439

221 US Highway 41
Ste I
Schererville, IN 46375
Phone (219) 864-3950

915 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-2424

Practitioners & affiliated clinicians

Practitioners 228

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.

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1366879009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444710",
            "telephone_number": "574-254-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR CHARGE CAPTURE",
        "authorized_official_telephone_number": "219-554-4548"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.