Dyer Pediatric Services

LBN: St Margaret Mercy Healthcare Centers Inc
Dyer Pediatric Services is an health care organization with primary practice located at 840 Richard Rd Suite # 4, Dyer IN 46311-1994. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. St Margaret Mercy Healthcare Centers Inc can be contacted via phone (219) 322-7171, or through Gryzbek, Thomas via phone (219) 932-2300.

Contact Information

Primary practice address
840 Richard Rd Suite # 4 Dyer IN 46311-1994
Phone: (219) 322-7171
Fax: (219) 864-2087
Website:
Map and Directions
Authorized official contact:
Name: Gryzbek, Thomas
Phone: (219) 932-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1962572354
LBN Legal business name St Margaret Mercy Healthcare Centers Inc
DBA Doing business as Dyer Pediatric Services
Authorized official Gryzbek, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 23rd, 2008 - about 16 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 1962572354 NPPES
Illinois Other 0090000854 BCBS GROUP NUMBER
Illinois MEDICAID 200159110L BCBS GROUP NUMBER

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