| The Methodist Hospitals, Inc | |
|
600 Grant St Gary IN 46402-6001 | |
| (219) 886-4404 | |
| Not Available |
| Full Name | The Methodist Hospitals, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 600 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Mathew Doyle (PRESIDENT/CEO) |
| Authorized Official Contact | 2198864171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Methodist Hospitals, Inc 8701 Broadway Attn Cbo Merrillville IN 46410-7035 Ph: (219) 738-5985 | The Methodist Hospitals, Inc 600 Grant St Gary IN 46402-6001 Ph: (219) 886-4404 |
| NPI Number | 1396015251 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 9638063894 |
|---|---|
| Medicare Enrollment ID | O20111128000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396015251 | NPI | - | NPPES |
| 100268630A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11-005002-1 (Indiana) | Primary |
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