Email sent to: SHP.NetworkDevelopment@SuperiorHealthPlan.com  Subject: W9 || BHMUC || Superior Healthplan   Hi,  I have initiated the application for our facility details mentioned below, also see the attachment of the completed IRS W9 form,  Group Name	Best Health Medical Urgent Care LLC Tax ID	874737975 Group NPI	1245987296 Primary & Billing Location	9385 East Washington Street, Indianapolis, IN 46229-3029 Taxonomy & Specialty	261QU0200X - Clinic\Center Urgent Care   Thanks,