| Chube2 Primary Care Llc | |
|
600 Grant St Gary IN 46402-6001 | |
| (219) 201-8178 | |
| Not Available |
| Full Name | Chube2 Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Crystal Hunt (BILLING MANAGER) |
| Authorized Official Contact | 2192018178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chube2 Primary Care Llc 1024 Killarney Dr Dyer IN 46311-1293 Ph: () - | Chube2 Primary Care Llc 600 Grant St Gary IN 46402-6001 Ph: (219) 201-8178 |
| NPI Number | 1174030605 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 0840559654 |
|---|---|
| Medicare Enrollment ID | O20180123002691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174030605 | NPI | - | NPPES |
| 1003724508 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01038347 (Kansas) | Primary |
| Provider Name | David D Chube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124024096 PECOS PAC ID: 9335406172 Enrollment ID: I20171201002372 |
Porter-starke Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Marram Health Center, 3229 Broadway Suite 160, Gary, IN 46409 Phone: 219-806-3011 | |
Porter-starke Services Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3229 Broadway Ste 115, Gary, IN 46409 Phone: 219-531-3500 | |
Ig Health & Vitality Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Bigger St, Gary, IN 46404 Phone: 219-201-5597 | |
My Urban Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1116 Broadway, Gary, IN 46407 Phone: 219-886-3134 Fax: 219-886-3144 | |
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 | |
Gary City Working And Procedure Clinic Llc-s Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Broadway, Gary, IN 46407 Phone: 219-882-0980 |