Immanuel Family Health Center
LBN: Chikare Health Services Inc
Immanuel Family Health Center is an health care organization with primary practice located at 915 W Chicago Ave , East Chicago IN 46312. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Chikare Health Services Inc can be contacted via phone (219) 397-6000, or through Odeluga, Kanayo K via phone (219) 397-6000.
Contact Information
Primary practice address
915 W Chicago Ave
East Chicago IN 46312
Phone: (219) 397-6000
Fax: (219) 397-6358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1043375934 |
|---|---|
| LBN Legal business name | Chikare Health Services Inc |
| DBA Doing business as | Immanuel Family Health Center |
| Authorized official | Odeluga, Kanayo K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jun 18th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043375934 | NPPES |
| Indiana | Other | 15D0956269 | CLIA |
| Indiana | Other | CG2552 | CLIA |
| Indiana | MEDICAID | 200210560A | CLIA |
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