Pnw Clinic

LBN: Southlake Community Mental Health Center Inc.
Pnw Clinic is an health care organization with primary practice located at 2250 173Rd St Ste 111 , Hammond IN 46323-2074. 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. Southlake Community Mental Health Center Inc. can be contacted via phone (219) 769-4005, or through Sikora, Judith via phone (219) 757-1921.

Contact Information

Primary practice address
2250 173Rd St Ste 111 Hammond IN 46323-2074
Phone: (219) 769-4005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sikora, Judith
Phone: (219) 757-1921

Health care specialties

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

Profile Details

NPI number 1023642576
LBN Legal business name Southlake Community Mental Health Center Inc.
DBA Doing business as Pnw Clinic
Authorized official Sikora, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2020
Last updated Feb 26th, 2020 - about 5 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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