Basic Information
| Provider Information | |||||||||
| NPI: | 1285872473 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WORKFORCE HEALTH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 311 BOYD BLVD | ||||||||
| Address2: | |||||||||
| City: | LA PORTE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463503965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2193254603 | ||||||||
| FaxNumber: | 2193255435 | ||||||||
| Practice Location | |||||||||
| Address1: | 220 DUNES PLZ | ||||||||
| Address2: | HWY 421 & 20 | ||||||||
| City: | MICHIGAN CITY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463607365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198743750 | ||||||||
| FaxNumber: | 2198744476 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2009 | ||||||||
| LastUpdateDate: | 05/03/2010 | ||||||||
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| AuthorizedOfficialLastName: | SAVAGE | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR, CORPORATE HEALTH | ||||||||
| AuthorizedOfficialTelephone: | 2193262656 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0100X | Y | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
No ID Information.