Franciscan Health Michigan City
Organization Active NPI Community/Retail Pharmacy · Michigan City, IN
NPI 1851774095 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1851774095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FRANCISCAN HEALTH MICHIGAN CITY
- Practice address
- 3500 Franciscan Way FL 1
Michigan City, IN 46360-0021 - Phone
- (219) 878-8300
- Fax
- (219) 878-8301
- NPI assigned
- Jul 7, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- FRANCISCAN HEALTH MICHIGAN CITY
Authorized official
- Name
- Dean Mazzoni
- Title
- President & Chief Executive Officer
- Phone
- (219) 877-1410
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 5
Member of 1
Practitioners 4
-
Christy Berrier, R.D., C.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Franciscan Health Michigan City |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160406002281 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587568209 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crown Point, IN; Munster, IN; Michigan City, IN; Lafayette, IN; Indianapolis, IN |
| O20251104002935 | IN | DME Supplier - Pharmacy | 4486555067 | Practice locations: Michigan City, IN |
| O20251212001411 | IN | Part B Supplier - Pharmacy | 4486555067 | Practice locations: Michigan City, IN |
National Provider Directory
- Tax ID family
- St Anthony Memorial Hea
- Part of
- St Anthony Memorial Hea
Locations
770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630
770 Indian Boundary Rd
Ste 201
Chesterton, IN 46304
Phone (219) 921-2040
770 Indian Boundary Rd
Ste 204
Chesterton, IN 46304
Phone (219) 861-8465
770 Indian Boundary Rd
Ste 102
Chesterton, IN 46304
Phone (219) 921-2000
1201 S Main St
Ste 103
Crown Point, IN 46307
Phone (219) 757-6020
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
301 W Homer St
Ste 300
Michigan City, IN 46360
Phone (219) 879-8511
4111 Franklin St
Ste 102
Michigan City, IN 46360
Phone (219) 879-5400
4111 Franklin St
Michigan City, IN 46360
Phone (219) 873-2919
3500 Franciscan Way
Fl 1
Michigan City, IN 46360
Phone (219) 878-8300
1225 E Coolspring Ave
Ste 100
Michigan City, IN 46360
Phone (219) 861-8121
701 Superior Ave
Ste 200
Munster, IN 46321
Phone (219) 922-5889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3500 Franciscan Way FL 1
Michigan City, IN 46360-0021
Mailing address
3500 Franciscan Way FL 1
Michigan City, IN 46360-0033
Phone (219) 878-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201334460 | Medicaid | IN |
Other names
- Franciscan Outpatient Pharmacy Michigan City
Other providers in Michigan City, IN
- Franciscan Health Michigan City
- Franciscan Health Michigan City
- Franciscan Health Michigan City
- Franciscan Health Michigan City
- Franciscan Health Michigan City
- Franciscan Physician Network
- Franklin Clinic P.C
- Brian Richard Freeman
- Halle Freeze
- Sharon L Friedrich
All providers in Michigan City, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.