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GARY CITY WORKING AND PROCEDURE CLINIC LLC-S NPI 1164033676


NPI Information

NPI: 1164033676
Provider Name: GARY CITY WORKING AND PROCEDURE CLINIC LLC-S

Other Name: GARY CITY URGENT AND IMMEDIATE CARE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D2185747

Address:
1701 BROADWAY
GARY, IN
ZIP 46407
Phone: (219) 882-0980
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GARY CITY WORKING AND PROCEDURE CLINIC LLC-S is a family medicine in Gary, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARY CITY WORKING AND PROCEDURE CLINIC LLC-S NPI is 1164033676. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Gary City Urgent And Immediate Care Llc.

The provider's business location address is:

1701 BROADWAY
GARY, IN
ZIP 46407-238
Phone: (219) 882-0980

The provider's authorized official is Paul Okolocha .
The authorized official title is Owner and has the following contact phone number (219) 882-0980.

The CLIA number assigned to this NPI record is 15D2185747 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 2/8/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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