| Community Healthnet Inc | |
|
1021 West 5th Avenue Gary IN 46402-1703 | |
| (219) 880-1190 | |
| (219) 880-0784 |
| Full Name | Community Healthnet Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 West 5th Avenue, Gary, Indiana |
| Authorized Official Name and Position | Janet Seabrook (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2198801190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthnet Inc 1021 West 5th Avenue Gary IN 46402-1703 Ph: (219) 880-1190 | Community Healthnet Inc 1021 West 5th Avenue Gary IN 46402-1703 Ph: (219) 880-1190 |
| NPI Number | 1952332298 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/21/2011 |
| Medicare PECOS PAC ID | 6305852344 |
|---|---|
| Medicare Enrollment ID | O20060228000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952332298 | NPI | - | NPPES |
| 200197530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (Indiana) | Primary |
| Provider Name | Lori E Oxley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033258447 PECOS PAC ID: 0941287361 Enrollment ID: I20040702000963 |
| Provider Name | Arnita K Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992779383 PECOS PAC ID: 3274506738 Enrollment ID: I20040813000908 |
| Provider Name | Shah A Chowdhury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578563516 PECOS PAC ID: 9234155631 Enrollment ID: I20051014000511 |
| Provider Name | Valerie Jean Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346346665 PECOS PAC ID: 1052327814 Enrollment ID: I20060302000586 |
| Provider Name | Janet Seabrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043227507 PECOS PAC ID: 9739195777 Enrollment ID: I20060307000074 |
| Provider Name | Leahdon Lynn Staples |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770688665 PECOS PAC ID: 3678675493 Enrollment ID: I20070226000529 |
| Provider Name | Camille A Borders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396858502 PECOS PAC ID: 2365527470 Enrollment ID: I20080313000639 |
| Provider Name | Melvin D Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336158484 PECOS PAC ID: 8729154851 Enrollment ID: I20080913000091 |
| Provider Name | Ugochi G Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568596435 PECOS PAC ID: 0244390219 Enrollment ID: I20081120000387 |
| Provider Name | Cynthia M Hoess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801863972 PECOS PAC ID: 2567509854 Enrollment ID: I20091019000394 |
| Provider Name | Nicole Y Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033302955 PECOS PAC ID: 9032256177 Enrollment ID: I20091022000471 |
| Provider Name | Shari M Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205162138 PECOS PAC ID: 7416132576 Enrollment ID: I20110505000154 |
| Provider Name | Steve Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225141427 PECOS PAC ID: 5496929390 Enrollment ID: I20111110000347 |
| Provider Name | Cassandra Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831374073 PECOS PAC ID: 2860653607 Enrollment ID: I20120423000176 |
| Provider Name | Caterina A Komyatte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508833831 PECOS PAC ID: 8820240096 Enrollment ID: I20121214000438 |
| Provider Name | Milton Armston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427365253 PECOS PAC ID: 6204001225 Enrollment ID: I20140123001829 |
| Provider Name | Adaobi Ogonuwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469234 PECOS PAC ID: 3971829722 Enrollment ID: I20150313001101 |
| Provider Name | Lynn Miskovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588876148 PECOS PAC ID: 2163741448 Enrollment ID: I20150508000196 |
| Provider Name | Kathleen Kleefisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801173349 PECOS PAC ID: 3072824820 Enrollment ID: I20150729008244 |
| Provider Name | Catherine M Wilbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801824420 PECOS PAC ID: 9739183997 Enrollment ID: I20160615001508 |
| Provider Name | Kathy Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952582 PECOS PAC ID: 6002109139 Enrollment ID: I20160726002964 |
| Provider Name | Ellen Hennessy-harstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639337413 PECOS PAC ID: 8224313929 Enrollment ID: I20170321000142 |
| Provider Name | Martha S Kozub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609098607 PECOS PAC ID: 1951690445 Enrollment ID: I20170321000589 |
| Provider Name | Claude Ann Poupolos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063828879 PECOS PAC ID: 6507133857 Enrollment ID: I20170517001714 |
| Provider Name | Lashanna Shanice Lovell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821417023 PECOS PAC ID: 6305148180 Enrollment ID: I20171206003489 |
| Provider Name | Liliana Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608510 PECOS PAC ID: 5991050494 Enrollment ID: I20190121000888 |
| Provider Name | Mykela K Loury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487842688 PECOS PAC ID: 6103137245 Enrollment ID: I20200108000719 |
| Provider Name | Tenika Lenai Henry-graves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205476926 PECOS PAC ID: 0941630172 Enrollment ID: I20200814000959 |
| Provider Name | Tynese S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528327731 PECOS PAC ID: 4880822410 Enrollment ID: I20200824002352 |
| Provider Name | Charmi Solanki |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154934446 PECOS PAC ID: 8527488212 Enrollment ID: I20201019002280 |
| Provider Name | Brenda J Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386658250 PECOS PAC ID: 3274925771 Enrollment ID: I20220112002858 |
| Provider Name | Jhared Black |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578017505 PECOS PAC ID: 3577970904 Enrollment ID: I20220627001761 |
| Provider Name | Hector E Trevino |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306391719 PECOS PAC ID: 3274803739 Enrollment ID: I20220726002613 |
| Provider Name | Shardai A Gossett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962085340 PECOS PAC ID: 3971909086 Enrollment ID: I20230503000215 |
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