GRAND PARK SURGICAL CENTER INC NPI 1568525244

NPI Information

NPI: 1568525244
Provider Name: GRAND PARK SURGICAL CENTER, INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Address: 1479 E 84TH PL
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 738-2828

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NPI Details

GRAND PARK SURGICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Merrillville, IN. GRAND PARK SURGICAL CENTER, INC NPI is 1568525244. The provider is registered as an organization entity type.

The provider's business location address is:

1479 E 84TH PL
MERRILLVILLE, IN
ZIP 46410-451
Phone: (219) 738-2828
Fax: (219) 756-3349

The provider's authorized official is Lucy T Morales .
The authorized official title is C.e.o. and has the following contact phone number (219) 738-2828.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 4/28/2014.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	060062141	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	000000098072	OTHER	INDIANA	BLUECROSSBLUESHIELD
2	100274590A	MEDICAID	INDIANA
3	M3000060416	MEDICARE PIN	INDIANA

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: 3/30/2025

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