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Contact Information

LOCAL HEALTH INDIANA INC.
300 E ELKHART
BRISTOL, IN46507
 Phone: 815-715-8502
 Fax: 574-848-0663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LOCAL HEALTH INDIANA INC.

NPI Number 1295839462
LBN Legal business name LOCAL HEALTH INDIANA INC.
Authorized official SELMA DZELIL - (VP RDO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2006
Last updated 04/16/2024 - About 2 years ago
Identifiers
IN License # 60005839A
IN Medicaid 200126860A
Other 1537135 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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