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:
Health care specialties
| Specialty | Code | License # | 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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