| Pacific Healthcare, Inc. | |
|
6829-1/2 S. Grand Avenue Hammond IN 46323 | |
| (219) 554-0356 | |
| Not Available |
| Full Name | Pacific Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 6829-1/2 S. Grand Avenue, Hammond, Indiana |
| Authorized Official Name and Position | Joel B. Tan (PRESIDENT DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2195540356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Healthcare, Inc. 6829-1/2 S. Grand Avenue Hammond IN 46323 Ph: (219) 554-0356 | Pacific Healthcare, Inc. 6829-1/2 S. Grand Avenue Hammond IN 46323 Ph: (219) 554-0356 |
| NPI Number | 1790863256 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790863256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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