Grand Park Surgical Center, Inc | |
1479 E 84th Pl Merrillville IN 46410-6451 | |
(219) 738-2828 | |
(219) 756-3349 |
Full Name | Grand Park Surgical Center, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1479 E 84th Pl, Merrillville, Indiana |
Authorized Official Name and Position | Lucy T Morales (C.E.O.) |
Authorized Official Contact | 2197382828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grand Park Surgical Center, Inc 1479 E 84th Pl Merrillville IN 46410-6451 Ph: (219) 738-2828 | Grand Park Surgical Center, Inc 1479 E 84th Pl Merrillville IN 46410-6451 Ph: (219) 738-2828 |
NPI Number | 1568525244 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 04/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568525244 | NPI | - | NPPES |
000000098072 | Other | IN | BLUECROSSBLUESHIELD |
100274590A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 060062141 (Indiana) | Primary |
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 |