Sacris Medical Corporation Pc

LBN: Sacris Medical Corporation Pc
Sacris Medical Corporation Pc is an health care organization with primary practice located at 2000 Roosevelt Rd Suite 207, Valparaiso IN 46383-2800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Sacris Medical Corporation Pc can be contacted via phone (219) 462-4042, or through Dela Vina, Michael H via phone (219) 462-4042.

Contact Information

Primary practice address
2000 Roosevelt Rd Suite 207 Valparaiso IN 46383-2800
Phone: (219) 462-4042
Fax: (219) 462-1444
Website:
Map and Directions
Authorized official contact:
Name: Dela Vina, Michael H
Phone: (219) 462-4042

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X 01025728 Indiana

Profile Details

NPI number 1952514895
LBN Legal business name Sacris Medical Corporation Pc
DBA Doing business as
Authorized official Dela Vina, Michael H
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Oct 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952514895 NPPES
Indiana Other 000000109115 BLUE CROSS OF INDIANA
Indiana Other 90000239 BLUE CROSS OF INDIANA
Indiana MEDICAID 100076930A BLUE CROSS OF INDIANA

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