<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 426 S Lake St, Gary, Indiana. For appointments, you can reach them via phone at (219) 939-6070. The mailing address for is 1100 W 6th Ave, Gary, Indiana and phone number is (219) 885-4264.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245907344. 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) 939-6070.

Contact Information


	426 S Lake St Gary IN 46403-2405
	(219) 939-6070
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	426 S Lake St, Gary, Indiana
Authorized Official Name and Position	Danita Johnson Hughes (CEO)
Authorized Official Contact	2198854264
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264	426 S Lake St Gary IN 46403-2405 Ph: (219) 939-6070

NPI Details:

NPI Number	1245907344
Provider Enumeration Date	08/26/2021
Last Update Date	08/26/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	9234398397
Medicare Enrollment ID	O20210902000571

Medical Identifiers

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

Identifier	Type	State	Issuer
1245907344	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Reviews and Comments

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- Medicare Primary Care in Gary, IN