Chikare Health System Pc

LBN: Chikare Health System Pc
Chikare Health System Pc is an health care organization with primary practice located at 915 W Chicago Ave , East Chicago IN 46312-3308. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Chikare Health System Pc can be contacted via phone (219) 397-6000, or through Odeluga, Kanayo via phone (219) 397-6000.

Contact Information

Primary practice address
915 W Chicago Ave East Chicago IN 46312-3308
Phone: (219) 397-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Odeluga, Kanayo Doctor of Medicine (MD)
Phone: (219) 397-6000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1285298067
LBN Legal business name Chikare Health System Pc
DBA Doing business as
Authorized official Odeluga, Kanayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2019
Last updated Jan 9th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285298067 NPPES
Illinois MEDICAID 01047947A

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