| Community Healthnet Miller | |
|
1015 N Shelby St Gary IN 46403-1446 | |
| (219) 880-1190 | |
| Not Available |
| Full Name | Community Healthnet Miller |
|---|---|
| Speciality | Clinic/Center |
| Location | 1015 N Shelby St, Gary, Indiana |
| Authorized Official Name and Position | Janet Seabrook (CEO) |
| Authorized Official Contact | 2194842442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthnet Miller 1021 W 5th Ave Gary IN 46402-1703 Ph: (219) 880-1190 | Community Healthnet Miller 1015 N Shelby St Gary IN 46403-1446 Ph: (219) 880-1190 |
| NPI Number | 1497007876 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 6305852344 |
|---|---|
| Medicare Enrollment ID | O20130906000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497007876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
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