Chube2 Primary Care | |
600 Grant St Gary IN 46402-6001 | |
(219) 201-8178 | |
Not Available |
Full Name | Chube2 Primary Care |
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Speciality | Family Medicine |
Location | 600 Grant St, Gary, Indiana |
Authorized Official Name and Position | Crystal Hunt (BILLING MANAGER) |
Authorized Official Contact | 2192018178 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chube2 Primary Care 1024 Killarney Dr Dyer IN 46311-1293 Ph: () - | Chube2 Primary Care 600 Grant St Gary IN 46402-6001 Ph: (219) 201-8178 |
NPI Number | 1174030605 |
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Provider Enumeration Date | 01/05/2018 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 0840559654 |
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Medicare Enrollment ID | O20180123002691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174030605 | NPI | - | NPPES |
1003724508 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01038347 (Kansas) | Primary |
Provider Name | David D Chube |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124024096 PECOS PAC ID: 9335406172 Enrollment ID: I20171201002372 |
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