City Of Lake Station

LBN: Civil City Of Lake Station Ind
City Of Lake Station is an health care organization with primary practice located at 1876 Fairview Ave , Lake Station IN 46405. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Civil City Of Lake Station Ind can be contacted via phone (219) 962-8295, or through Fazekas, Charles via phone (219) 945-6629.

Contact Information

Primary practice address
1876 Fairview Ave Lake Station IN 46405
Phone: (219) 962-8295
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fazekas, Charles
Phone: (219) 945-6629

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 0291 Indiana

Profile Details

NPI number 1336214493
LBN Legal business name Civil City Of Lake Station Ind
DBA Doing business as City Of Lake Station
Authorized official Fazekas, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jun 6th, 2024 - about 5 months 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 1336214493 NPPES
Indiana Other 000000215119 ANTHEM
Indiana MEDICAID 200262890A ANTHEM

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