| Premier Hospitalist Pc | |
|
600 Grant St Gary IN 46402-6001 | |
| (708) 288-3452 | |
| (708) 401-0050 |
| Full Name | Premier Hospitalist Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Emeric Palmer (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7082883452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Hospitalist Pc Po Box 1047 Crown Point IN 46308-1047 Ph: (708) 288-3452 | Premier Hospitalist Pc 600 Grant St Gary IN 46402-6001 Ph: (708) 288-3452 |
| NPI Number | 1093965501 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093965501 | NPI | - | NPPES |
| 200289700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01049154 (Indiana) | Primary |
| 208M00000X | Hospitalist | 01049154 (Indiana) | Secondary |
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