1972682581 NPI number — ST MARGARET MERCY HEALTHCARE CENTERS

Table of content: (NPI 1972682581)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972682581 NPI number — ST MARGARET MERCY HEALTHCARE CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST MARGARET MERCY HEALTHCARE CENTERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DYER FAMILY PRACTICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972682581
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DYER
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46311-0800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-864-2107
Provider Business Mailing Address Fax Number:
219-864-2251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
840 RICHARD RD
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
DYER
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46311-1993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-322-1450
Provider Business Practice Location Address Fax Number:
219-322-8260
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRYZBEK
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
219-932-2300

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0090000854 . This is a "BCBS GROUP NUMBER" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 200159110A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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