| Edgewater Systems For Balanced Living, Inc | |
|
1212 N Broad St Griffith IN 46319-1534 | |
| (219) 838-1270 | |
| Not Available |
| Full Name | Edgewater Systems For Balanced Living, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1212 N Broad St, Griffith, 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 | Practice Location Address |
|---|---|
| Edgewater Systems For Balanced Living, Inc 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 | Edgewater Systems For Balanced Living, Inc 1212 N Broad St Griffith IN 46319-1534 Ph: (219) 838-1270 |
| NPI Number | 1366043457 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 9234398397 |
|---|---|
| Medicare Enrollment ID | O20201208001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366043457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Farah Najamuddin, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1951 W Glen Park Ave, Griffith, IN 46319 Phone: 219-838-3270 | |
Franciscan Express Care-griffith Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1573 N Cline Ave, Griffith, IN 46319 Phone: 219-972-7179 Fax: 219-972-7183 | |
American Family Medical Center,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 35th Ave, Griffith, IN 46319 Phone: 219-923-9200 Fax: 219-923-9203 | |
Immediate Home Care Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1519 N Cline Ave, Griffith, IN 46319 Phone: 815-616-2906 | |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 N Wiggs St Rm A104b, Griffith, IN 46319 Phone: 219-763-8112 Fax: 219-764-5380 | |
Lake Ridge Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1573 N Cline Ave, Griffith, IN 46319 Phone: 219-838-2312 Fax: 219-838-1521 |