| Franciscan Health Hammond | |
|
24 Joliet St Dyer IN 46311-1705 | |
| (219) 932-2300 | |
| (219) 852-2492 |
| Full Name | Franciscan Health Hammond |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 24 Joliet St, Dyer, Indiana |
| Authorized Official Name and Position | Joseph Marc Golan (CFO - NORTHWEST INDIANA) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Health Hammond 5454 Hohman Ave Hammond IN 46320-1931 Ph: (219) 932-2300 | Franciscan Health Hammond 24 Joliet St Dyer IN 46311-1705 Ph: (219) 932-2300 |
| NPI Number | 1215012828 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 0749192615 |
|---|---|
| Medicare Enrollment ID | O20071213000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215012828 | NPI | - | NPPES |
| 8017 | Medicaid | IL | |
| 100268750 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 06-005004-1 (Indiana) | Primary |
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