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3601 W 41st Ave Gary IN 46408-3058 | |
(219) 880-1190 | |
(219) 880-0784 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3601 W 41st Ave, Gary, Indiana |
Authorized Official Name and Position | Janet Seabrook (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2194842442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1021 W 5th Ave Gary IN 46402-1703 Ph: () - | 3601 W 41st Ave Gary IN 46408-3058 Ph: (219) 880-1190 |
NPI Number | 1649539933 |
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Provider Enumeration Date | 05/08/2012 |
Last Update Date | 10/17/2022 |
Medicare PECOS PAC ID | 6305852344 |
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Medicare Enrollment ID | O20130809000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649539933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ig Health & Vitality Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Bigger St, Gary, IN 46404 Phone: 219-201-5597 | |
Premier Hospitalist Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Grant St, Gary, IN 46402 Phone: 708-288-3452 Fax: 708-401-0050 | |
Comprehensive Safety, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W 15th Ave, Gary, IN 46406 Phone: 219-977-2090 Fax: 219-977-2094 | |