NORTHWEST CENTER MEDICAL SERVICES CORP. NPI 1942488754

NPI Information

NPI: 1942488754
Provider Name: NORTHWEST CENTER MEDICAL SERVICES CORP.
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
3400 BROADWAY
GARY, IN
ZIP 46408
Phone: (219) 980-6560
Get Directions

NORTHWEST CENTER MEDICAL SERVICES CORP. is a clinical genetics (m.d.) medical genetics in Gary, IN. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NORTHWEST CENTER MEDICAL SERVICES CORP. NPI is 1942488754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 BROADWAY
GARY, IN
ZIP 46408-101
Phone: (219) 980-6560
Fax: (219) 980-6693

The provider's authorized official is Janice Zunich .
The authorized official title is Director, Genetics Center and has the following contact phone number (219) 980-6560.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 6/9/2008.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	01034255A	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	100213240A	MEDICAID	INDIANA
2	370019259	OTHER	INDIANA	MEDICARE RAILROAD PIN
3	000000079455	OTHER		BLUE CROSS BLUE SHIELD PIN#
4	911-15448	OTHER		BLUE CROSS BLUES SHIELD OF IL PROVIDER#
5	2047365	OTHER		AETNA PROVIDER NUMBER
6	B29311	MEDICARE UPIN
7	705110	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: 5/5/2024

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