Regional Mental Health Center

LBN: Southlake Community Mental Health Center Inc.
Regional Mental Health Center is an health care organization with primary practice located at 8555 Taft St , Merrillville IN 46410-6123. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), 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 Roll, Shirley A via phone (317) 472-7396.

Contact Information

Primary practice address
8555 Taft St Merrillville IN 46410-6123
Phone: (219) 769-4005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roll, Shirley A
Phone: (317) 472-7396

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1902043672
LBN Legal business name Southlake Community Mental Health Center Inc.
DBA Doing business as Regional Mental Health Center
Authorized official Roll, Shirley A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated May 24th, 2022 - about 2 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 1902043672 NPPES
Indiana MEDICAID 100157670B

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