Grand Park Surgical Center, Inc
LBN: Grand Park Surgical Center, Inc
Grand Park Surgical Center, Inc is an health care organization with primary practice located at 1479 E 84Th Pl , Merrillville IN 46410-6451. 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.
Grand Park Surgical Center, Inc can be contacted via phone (219) 738-2828, or through Morales, Lucy T via phone (219) 738-2828.
Contact Information
Primary practice address
1479 E 84Th Pl
Merrillville IN 46410-6451
Phone: (219) 738-2828
Fax: (219) 756-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 060062141 | Indiana |
Profile Details
| NPI number | 1568525244 |
|---|---|
| LBN Legal business name | Grand Park Surgical Center, Inc |
| DBA Doing business as | |
| Authorized official | Morales, Lucy T Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 28th, 2014 - about 10 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 | 1568525244 | NPPES |
| Indiana | Other | 000000098072 | BLUECROSSBLUESHIELD |
| Indiana | MEDICAID | 100274590A | BLUECROSSBLUESHIELD |
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