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5495 Broadway Merrillville IN 46410-1647 | |
(219) 885-4264 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5495 Broadway, Merrillville, Indiana |
Authorized Official Name and Position | Danita Johnson Hughes (CEO) |
Authorized Official Contact | 2198854264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 | 5495 Broadway Merrillville IN 46410-1647 Ph: (219) 885-4264 |
NPI Number | 1184303414 |
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Provider Enumeration Date | 07/13/2023 |
Last Update Date | 07/26/2023 |
Identifier | Type | State | Issuer |
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1184303414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Solution Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 58th Pl, Merrillville, IN 46410 Phone: 773-732-0816 | |
Workcare Occupational Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 E 81st Place, Merrillville, IN 46410 Phone: 219-769-4400 |