Regional Community Health Center- Homeless Site
LBN: Southlake Community Mental Health Center, Inc.
Regional Community Health Center- Homeless Site is an health care organization with primary practice located at 527 State St , Hammond IN 46320-1533. 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) 803-7252, or through Krumwied, Bob via phone (219) 769-4005.
Contact Information
Primary practice address
527 State St
Hammond IN 46320-1533
Phone: (219) 803-7252
Fax: (219) 937-3300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1508297540 |
|---|---|
| LBN Legal business name | Southlake Community Mental Health Center, Inc. |
| DBA Doing business as | Regional Community Health Center- Homeless Site |
| Authorized official | Krumwied, Bob |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2013 |
| Last updated | May 8th, 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 | 1508297540 | NPPES |
| Indiana | MEDICAID | 2012166480A |
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