Dyer Family Practice South
LBN: St Margaret Mercy Healthcare Centers
Dyer Family Practice South is an health care organization with primary practice located at 14785 W 101St Ave , Dyer IN 46311-3371. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
St Margaret Mercy Healthcare Centers can be contacted via phone (219) 864-2235, or through Gryzbek, Thomas via phone (219) 932-2300.
Contact Information
Primary practice address
14785 W 101St Ave
Dyer IN 46311-3371
Phone: (219) 864-2235
Fax: (219) 864-1398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1457421836 |
|---|---|
| LBN Legal business name | St Margaret Mercy Healthcare Centers |
| DBA Doing business as | Dyer Family Practice South |
| Authorized official | Gryzbek, Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jun 23rd, 2010 - about 14 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 | 1457421836 | NPPES |
| Indiana | MEDICAID | 200159110I | |
| Indiana | Other | 0090000854 |
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