| St. Mary Medical Center | |
|
300 W 80th Pl Ste A Merrillville IN 46410-5456 | |
| (219) 738-1736 | |
| (219) 738-2482 |
| Full Name | St. Mary Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 W 80th Pl, Merrillville, Indiana |
| Authorized Official Name and Position | Mary F Sudicky (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2199420551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Medical Center 164 Bracken Pkwy Hobart IN 46342-6789 Ph: (219) 947-6780 | St. Mary Medical Center 300 W 80th Pl Ste A Merrillville IN 46410-5456 Ph: (219) 738-1736 |
| NPI Number | 1457425605 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457425605 | NPI | - | NPPES |
| 200251650G | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Uwc- Merrillville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W 81st Ave Ste A, Merrillville, IN 46410 Phone: 312-421-1016 Fax: 219-255-9588 | |
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Northshore Regional Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-763-8112 Fax: 219-764-3251 | |
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