Northwest Center Medical Services Corp

LBN: Northwest Center Medical Services Corp
Northwest Center Medical Services Corp is an health care organization with primary practice located at 3400 Broadway , Gary IN 46408-1101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cytogenetic, which is considered as the primary health care specialty. Northwest Center Medical Services Corp can be contacted via phone (219) 980-6699, or through Ilgenfritz, Dawn via phone (219) 980-6699.

Contact Information

Primary practice address
3400 Broadway Gary IN 46408-1101
Phone: (219) 980-6699
Fax: (219) 980-6693
Website:
Map and Directions
Authorized official contact:
Name: Ilgenfritz, Dawn
Phone: (219) 980-6699

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X 01034266A Indiana

Profile Details

NPI number 1235399726
LBN Legal business name Northwest Center Medical Services Corp
DBA Doing business as
Authorized official Ilgenfritz, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 17 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 1235399726 NPPES
Indiana MEDICAID 100471020A

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