SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. NPI 1811134588

NPI Information

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. is a non emergency medical transport van in Merrillville, IN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. NPI is 1811134588. The provider is registered as an organization entity type.
The provider Is Doing Business As Regional Mental Health Center.

The provider's business location address is:

8555 TAFT ST
MERRILLVILLE, IN
ZIP 46410-123
Phone: (219) 769-4005

The provider's authorized official is Robert Krumwied .
The authorized official title is President/ceo and has the following contact phone number (219) 757-1970.

The CLIA number assigned to this NPI record is 15D2108285 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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