| Healthlinc -east Chicago Harbor | |
|
2323 Broadway St. East Chicago IN 46312 | |
| (888) 580-1060 | |
| Not Available |
| Full Name | Healthlinc -east Chicago Harbor |
|---|---|
| Speciality | Clinic/Center |
| Location | 2323 Broadway St., East Chicago, Indiana |
| Authorized Official Name and Position | Melissa Mitchell (CEO) |
| Authorized Official Contact | 2194659503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthlinc -east Chicago Harbor 2401 Valley Dr Valparaiso IN 46383-2520 Ph: () - | Healthlinc -east Chicago Harbor 2323 Broadway St. East Chicago IN 46312 Ph: (888) 580-1060 |
| NPI Number | 1508433707 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7618929373 |
|---|---|
| Medicare Enrollment ID | O20210615000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508433707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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