Organization Active NPI

McKinley Medical Clinmic

  • Health Maintenance Organization
  • Mishawaka, IN
National Provider Identifier
1770971384
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MCKINLEY MEDICAL CLINMIC
Practice address
524 E McKinley Ave
Mishawaka, IN 46545-6285
Phone
(574) 256-2556
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Lawrence Curry, D.O.
Title
D.O.
Phone
(574) 256-2556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

524 E McKinley Ave
Mishawaka, IN 46545-6285

Mailing address

524 E McKinley Ave
Mishawaka, IN 46545-6285
Phone (574) 256-2556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1770971384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY MEDICAL CLINMIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "574-256-2556",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 2015; 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.