Jong Kim Family Medicine

LBN: Jong Kim Family Medicine
Jong Kim Family Medicine is an health care organization with primary practice located at 8777 Broadway Suite C, Merrillville IN 46410-6693. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jong Kim Family Medicine can be contacted via phone (219) 738-3550, or through Kim, Jong H via phone (219) 738-3550.

Contact Information

Primary practice address
8777 Broadway Suite C Merrillville IN 46410-6693
Phone: (219) 738-3550
Fax: (219) 757-6727
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jong H Doctor of Medicine (MD)
Phone: (219) 738-3550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036861A Indiana

Profile Details

NPI number 1821273962
LBN Legal business name Jong Kim Family Medicine
DBA Doing business as
Authorized official Kim, Jong H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 14th, 2009 - about 15 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 1821273962 NPPES
Indiana MEDICAID 100200870

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