| Community Healthnet @hammond Central High School | |
|
5926 Calumet Ave Hammond IN 46320-2505 | |
| (219) 880-1190 | |
| (219) 880-0784 |
| Full Name | Community Healthnet @hammond Central High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 5926 Calumet Ave, Hammond, Indiana |
| Authorized Official Name and Position | Janet Seabrook (CEO) |
| Authorized Official Contact | 2188801190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthnet @hammond Central High School 1021 W 5th Ave Gary IN 46402-1703 Ph: (219) 880-1190 | Community Healthnet @hammond Central High School 5926 Calumet Ave Hammond IN 46320-2505 Ph: (219) 880-1190 |
| NPI Number | 1811650716 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 02/13/2023 |
| Medicare PECOS PAC ID | 6305852344 |
|---|---|
| Medicare Enrollment ID | O20230308001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811650716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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