| Pnw Clinic | |
|
2250 173rd St Ste 111 Hammond IN 46323-2074 | |
| (219) 769-4005 | |
| Not Available |
| Full Name | Pnw Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2250 173rd St Ste 111, Hammond, Indiana |
| Authorized Official Name and Position | Judith Sikora (CFO) |
| Authorized Official Contact | 2197571921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw Clinic 8555 Taft St Merrillville IN 46410-6123 Ph: (219) 769-4005 | Pnw Clinic 2250 173rd St Ste 111 Hammond IN 46323-2074 Ph: (219) 769-4005 |
| NPI Number | 1023642576 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023642576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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