Hoosier Healthcare LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

1736001 Issued in IN

Legal business name

HOOSIER HEALTHCARE LLC

Doing business as

HealtheACCESS Clinics, L.L.C.

Practice address

6615 S Boundary Rd
Portage, IN 46368-1373

Phone

(219) 787-8662

Fax

(219) 787-8420

NPI assigned

Sep 9, 2010

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Kiger, MBA

Title

Ceo

Phone

(219) 464-7073

Specialties & licenses 3

Addresses

Other names 1

• HealtheACCESS Clinics, L.L.C. Doing business as

Locations

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1750698965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 S BOUNDARY RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681373",
            "telephone_number": "219-787-8662",
            "fax_number": "219-787-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 S BOUNDARY RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681373",
            "telephone_number": "219-787-8662",
            "fax_number": "219-787-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KIGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-464-7073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IN",
            "license": "1736001",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "1736001",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "IN",
            "license": "1736001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealtheACCESS Clinics, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timothy George Hord, PHARMD
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• Larissa Jane Hoyt, BSE
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• Charron Hull

• Occupational Medicine Clinic/Center in Portage, IN
• Providers in Portage, IN by specialty
• Occupational Medicine Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.