| Count To Ten, Inc | |
| 
					5404 W 25th Ave Suite 107 Gary IN 46406-3141  | |
| (219) 989-9759 | |
| (219) 989-9757 | 
| Full Name | Count To Ten, Inc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 5404 W 25th Ave, Gary, Indiana | 
| Authorized Official Name and Position | Timothy Franklyn Gardner (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 2199899759 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Count To Ten, Inc 5404 W 25th Ave Suite 107 Gary IN 46406-3141 Ph: (219) 989-9759  | Count To Ten, Inc 5404 W 25th Ave Suite 107 Gary IN 46406-3141 Ph: (219) 989-9759  | 
| NPI Number | 1740470442 | 
|---|---|
| Provider Enumeration Date | 07/28/2007 | 
| Last Update Date | 03/31/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740470442 | NPI | - | NPPES | 
| M400014630 | Other | IN | MEDICARE IDENTIFICATION NUMBER | 
| M100014629 | Other | IN | MEDICARE IDENTIFICATION NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6600003-01 (Indiana) | Primary | 
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