HEALTHLINC - SOUTH BEND DENTAL – NPI #1679954804
Clinic/Center
HEALTHLINC - SOUTH BEND DENTAL is an AHC clinic located in SOUTH BEND, IN. NPPES has assigned the NPI number 1679954804 to HEALTHLINC - SOUTH BEND DENTAL on June 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEALTHLINC - SOUTH BEND DENTAL” is a dba name, the actual legal business name for this organization is HEALTHLINC, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 2 years ago on Jan 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHLINC - SOUTH BEND DENTAL below.
NPI Profile for
HEALTHLINC, INC.
(about 11 years ago)
SOUTH BEND, IN 46615 Phone: (219) 477-6082 Fax: (219) 465-9502
VALPARAISO, IN 46383-2520 Phone: (219) 413-5100 Fax: (219) 465-9507
CEO
Phone: (219) 465-9503
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for HEALTHLINC - SOUTH BEND DENTAL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICARE | IN | 193380 |
| medicaid | IN | 200317310G |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.