| St John Family Services | |
|
10860 Maple Ln Saint John IN 46373-8418 | |
| (219) 365-7000 | |
| (219) 365-2609 |
| Full Name | St John Family Services |
|---|---|
| Speciality | Family Medicine |
| Location | 10860 Maple Ln, Saint John, 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 |
|---|---|
| St John Family Services Po Box 1000 Dyer IN 46311-0800 Ph: (219) 365-7000 | St John Family Services 10860 Maple Ln Saint John IN 46373-8418 Ph: (219) 365-7000 |
| NPI Number | 1659448314 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659448314 | NPI | - | NPPES |
| 200159110Y | Medicaid | IN | |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Hospital Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Avenue, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-365-8852 | |
Community Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-365-8852 | |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9825 Wicker Ave Side, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5380 |