St. Mary Medical Center Inc | |
200 E 80th Place Ste 100 Merrillville IN 46410-5671 | |
(219) 769-7536 | |
(219) 736-1506 |
Full Name | St. Mary Medical Center Inc |
---|---|
Speciality | Family Medicine |
Location | 200 E 80th Place, Merrillville, Indiana |
Authorized Official Name and Position | Janice Ryba (CEO) |
Authorized Official Contact | 2199420551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Mary Medical Center Inc 9660 Wicker Avenue St John IN 46373-9487 Ph: (219) 226-2203 | St. Mary Medical Center Inc 200 E 80th Place Ste 100 Merrillville IN 46410-5671 Ph: (219) 769-7536 |
NPI Number | 1598839730 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 07/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598839730 | NPI | - | NPPES |
200251650 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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