NPI 1043414428

Northeastern Center,inc

Organisation Health Maintenance Organization Kendallville, IN

Practice location

Address: 1930 Dowling St, Kendallville, IN 46755-9436
Phone: (126) 034-7440
Fax: (126) 034-7312

Authorised official

Name: Susan Kamara
Title: Area Director
Phone: (260) 347-4400

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 101YM0800X (IN)

Other Health Maintenance Organization providers in Indiana →

Registry record

NPI: 1043414428
Entity type: Organization
NPI issued: 12 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.