St Margaret Mercy Behavioral Health Outpatient Center

LBN: St Margaret Mercy Healthcare Centers
St Margaret Mercy Behavioral Health Outpatient Center is an health care organization with primary practice located at 312 Ridge Road , Munster IN 46321-1528. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. St Margaret Mercy Healthcare Centers can be contacted via phone (219) 322-5747, or through Gryzbek, Thomas via phone (219) 932-2300.

Contact Information

Primary practice address
312 Ridge Road Munster IN 46321-1528
Phone: (219) 322-5747
Fax: (219) 864-2282
Website:
Map and Directions
Authorized official contact:
Name: Gryzbek, Thomas
Phone: (219) 932-2300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X

Profile Details

NPI number 1861564361
LBN Legal business name St Margaret Mercy Healthcare Centers
DBA Doing business as St Margaret Mercy Behavioral Health Outpatient Center
Authorized official Gryzbek, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 25th, 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 1861564361 NPPES
Indiana MEDICAID 100462480

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