| Community Healthnet Inc | |
|
6915 Grand Ave Hammond IN 46323-2587 | |
| (219) 880-1190 | |
| (219) 880-0784 |
| Full Name | Community Healthnet Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6915 Grand Ave, Hammond, Indiana |
| Authorized Official Name and Position | Janet Seabrook (CEO) |
| Authorized Official Contact | 2198801190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthnet Inc 1021 W 5th Ave Gary IN 46402-1703 Ph: (219) 880-1190 | Community Healthnet Inc 6915 Grand Ave Hammond IN 46323-2587 Ph: (219) 880-1190 |
| NPI Number | 1164161469 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Medicare PECOS PAC ID | 6305852344 |
|---|---|
| Medicare Enrollment ID | O20220927000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164161469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kathy Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952582 PECOS PAC ID: 6002109139 Enrollment ID: I20160726002964 |
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