MERRILLVILLE FAMILY MEDICAL CENTER NPI 1538279831

NPI Information

NPI: 1538279831
Provider Name: MERRILLVILLE FAMILY MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
270 EAST 90TH DRIVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-6363
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MERRILLVILLE FAMILY MEDICAL CENTER is a family medicine in Merrillville, 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. MERRILLVILLE FAMILY MEDICAL CENTER NPI is 1538279831. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

270 EAST 90TH DRIVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-6363
Fax: (219) 769-3922

The provider's authorized official is Nadira Ahmed .
The authorized official title is Owner and has the following contact phone number (219) 769-6363.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/19/2018.

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
1	207Q00000X	Family Medicine		01047385A	INDIANA	No
2	207Q00000X	Family Medicine		50004849A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000376214	OTHER	INDIANA	ANTHEM
2	200289300	MEDICAID	INDIANA
3	90001102	OTHER	ILLINOIS	BLUE SHIELD OF ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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