| Lake Ridge Medical Center | |
|
1573 N Cline Ave Griffith IN 46319-1567 | |
| (219) 383-2311 | |
| (219) 838-1521 |
| Full Name | Lake Ridge Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1573 N Cline Ave, Griffith, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Ridge Medical Center Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | Lake Ridge Medical Center 1573 N Cline Ave Griffith IN 46319-1567 Ph: (219) 383-2311 |
| NPI Number | 1952480519 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952480519 | NPI | - | NPPES |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
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 | |
Edgewater Systems For Balanced Living, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1212 N Broad St, Griffith, IN 46319 Phone: 219-838-1270 | |
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 |