| Edgewater Systems For Balanced Living, Inc | |
|
1100 W 6th Ave Gary IN 46402-1711 | |
| (219) 885-4264 | |
| (219) 888-9867 |
| Full Name | Edgewater Systems For Balanced Living, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1100 W 6th Ave, Gary, Indiana |
| Authorized Official Name and Position | Danita Johnson Hughes (PRESIDENT & CEO) |
| Authorized Official Contact | 2198854264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Systems For Balanced Living, Inc 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 | Edgewater Systems For Balanced Living, Inc 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 |
| NPI Number | 1598316978 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598316978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
Chube2 Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-201-8178 |