| Community Healthnet Inc - West Side High School | |
|
900 Gerry St Gary IN 46406-2010 | |
| (219) 880-1190 | |
| (219) 880-0784 |
| Full Name | Community Healthnet Inc - West Side High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 900 Gerry St, Gary, Indiana |
| Authorized Official Name and Position | Janet Seabrook (CEO) |
| Authorized Official Contact | 2198801190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthnet Inc - West Side High School 1021 W 5th Ave Gary IN 46402-1703 Ph: (219) 880-1190 | Community Healthnet Inc - West Side High School 900 Gerry St Gary IN 46406-2010 Ph: (219) 880-1190 |
| NPI Number | 1801621479 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801621479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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