Edgewater Health - Merrillville

LBN: Edgewater Systems For Balanced Living, Inc
Edgewater Health - Merrillville is an health care organization with primary practice located at 5495 Broadway , Merrillville IN 46410-1647. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Edgewater Systems For Balanced Living, Inc can be contacted via phone (219) 885-4264, or through Hughes, Danita Johnson via phone (219) 885-4264.

Contact Information

Primary practice address
5495 Broadway Merrillville IN 46410-1647
Phone: (219) 885-4264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Danita Johnson
Phone: (219) 885-4264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1184303414
LBN Legal business name Edgewater Systems For Balanced Living, Inc
DBA Doing business as Edgewater Health - Merrillville
Authorized official Hughes, Danita Johnson
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2023
Last updated Jul 26th, 2023 - about last year

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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