<unavail> in Gary, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Gary, Indiana. The current practice location for is 3503 Martin Luther King Dr, Gary, Indiana. For appointments, you can reach them via phone at (219) 880-1190. The mailing address for is 1021 W 5th Ave, Gary, Indiana and phone number is (219) 880-1190.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891262762. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 880-1190.

Contact Information


	3503 Martin Luther King Dr Gary IN 46409-1233
	(219) 880-1190
	(219) 880-0784

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3503 Martin Luther King Dr, Gary, Indiana
Authorized Official Name and Position	Janet Seabrook (CEO)
Authorized Official Contact	2198801190
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1021 W 5th Ave Gary IN 46402-1703 Ph: (219) 880-1190	3503 Martin Luther King Dr Gary IN 46409-1233 Ph: (219) 880-1190

NPI Details:

NPI Number	1891262762
Provider Enumeration Date	10/30/2018
Last Update Date	11/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6305852344
Medicare Enrollment ID	O20191202000125

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891262762	NPI	-	NPPES
200197530	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Gary, IN