Ourhealth Physician Group, LLC
Clinic/Center, Primary Care in Winamac, IN. Organization (NPI-2).
NPI number1376976571
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1376976571
- Entity type
- Organization (NPI-2)
- Legal business name
- Ourhealth Physician Group, LLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2013
- Last updated
- Oct 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Ourclinic @ Braun (Other Name)
Practice location
144 S. County Road 100 WWinamac, IN 46996
Phone 574-355-3111
Mailing address
4151 E 96th StIndianapolis, IN 46240-1442
Phone 866-434-3255 · Fax 866-422-0915
Authorized official
Jeffery M Wells
President
3175220823
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