Full Name | |
---|---|
Speciality | Clinic/center |
Location | 4700 E 7th Ave, Gary, Indiana |
Authorized Official Name and Position | W. Maurice White (CEO, HARVEST STARTS AT HOME) |
Authorized Official Contact | 2199389400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 64835 Gary IN 46401-0835 Ph: (219) 938-9400 | 4700 E 7th Ave Gary IN 46403-2737 Ph: (219) 938-9400 |
NPI Number | 1184896904 |
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Provider Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184896904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ig Health & Vitality Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Bigger St, Gary, IN 46404 Phone: 219-201-5597 | |
Premier Hospitalist Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Grant St, Gary, IN 46402 Phone: 708-288-3452 Fax: 708-401-0050 | |
Comprehensive Safety, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W 15th Ave, Gary, IN 46406 Phone: 219-977-2090 Fax: 219-977-2094 | |