| Community Healthnet Osc | |
|
5927 Columbia Ave Hammond IN 46320-2611 | |
| (219) 880-1190 | |
| Not Available |
| Full Name | Community Healthnet Osc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5927 Columbia Ave, Hammond, 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 Osc 1021 W 5th Ave Gary IN 46402-1703 Ph: () - | Community Healthnet Osc 5927 Columbia Ave Hammond IN 46320-2611 Ph: (219) 880-1190 |
| NPI Number | 1881946267 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 11/01/2013 |
| Medicare PECOS PAC ID | 6305852344 |
|---|---|
| Medicare Enrollment ID | O20130904000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881946267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
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