| Marram Health Center | |
|
3229 Broadway Ste 115 Gary IN 46409-1040 | |
| (219) 531-3500 | |
| Not Available |
| Full Name | Marram Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3229 Broadway Ste 115, Gary, Indiana |
| Authorized Official Name and Position | Aileen Wehren (VICE PRESIDENT) |
| Authorized Official Contact | 2194764567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marram Health Center 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 531-3500 | Marram Health Center 3229 Broadway Ste 115 Gary IN 46409-1040 Ph: (219) 531-3500 |
| NPI Number | 1023485356 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 1951293554 |
|---|---|
| Medicare Enrollment ID | O20150908001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023485356 | NPI | - | NPPES |
| 151013 | Other | IN | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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