LEESTMA MEDICAL CLINIC, INC – NPI #1487986451
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LEESTMA MEDICAL CLINIC, INC is a provider located in DE MOTTE, IN. NPPES has assigned the NPI number 1487986451 to LEESTMA MEDICAL CLINIC, INC on February 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on May 04, 2010. 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 LEESTMA MEDICAL CLINIC, INC below.

NPI Profile for
LEESTMA MEDICAL CLINIC, INC

NPI Number
1487986451
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEESTMA MEDICAL CLINIC, INC
Primary location
519 N HALLECK ST
DE MOTTE, IN 46310-9553
Phone: (219) 987-7750 Fax: (219) 987-5750
Mailing address
PO BOX 850
DEMOTTE, IN 46310-0850
Phone: (219) 987-7750 Fax: (219) 987-5750
Organization Subpart
No
Authorized Official
ERIC LEESTMA
PRESIDENT
Phone: (219) 987-7750
Updated
Identifiers

Identifiers for LEESTMA MEDICAL CLINIC, INC

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.

DescriptionIssuerStateIdentifier
OTHERANTHEM BCBSIN000000084931
OTHERRAILROAD MEDICARE080088241
MEDICAIDIN100209310A
Taxonomy Code(s)

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
207Q00000X
- Family Medicine (Primary)
IN 02000641A

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.