Provider Demographics
NPI:1174851885
Name:NORTH AMERICAN HEALTH SYSTEMS, LLP
Entity Type:Organization
Organization Name:NORTH AMERICAN HEALTH SYSTEMS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-934-9399
Mailing Address - Street 1:701 SUPERIOR AVE
Mailing Address - Street 2:STE J
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-4038
Mailing Address - Country:US
Mailing Address - Phone:219-934-9399
Mailing Address - Fax:219-934-9479
Practice Address - Street 1:701 SUPERIOR AVE
Practice Address - Street 2:STE J
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-4038
Practice Address - Country:US
Practice Address - Phone:219-934-9399
Practice Address - Fax:219-934-9479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027712A207YP0228X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Multi-Specialty