Provider Demographics
NPI:1942635214
Name:U.S. HEALTHWORKS
Entity Type:Organization
Organization Name:U.S. HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:317-241-8266
Mailing Address - Street 1:5603 W RAYMOND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-4364
Mailing Address - Country:US
Mailing Address - Phone:314-241-8266
Mailing Address - Fax:317-247-4978
Practice Address - Street 1:5603 W RAYMOND ST
Practice Address - Street 2:SUITE A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-4364
Practice Address - Country:US
Practice Address - Phone:314-241-8266
Practice Address - Fax:317-247-4978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28141357A261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN163W00000XOtherREGISTERED NURSE