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Contact Information

MERRILLVILLE CLINIC PC
7899 TAFT ST
MERRILLVILLE, IN46410-5284
 Phone: 219-769-4333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MERRILLVILLE CLINIC PC

NPI Number 1972650950
LBN Legal business name MERRILLVILLE CLINIC PC
Authorized official KELLEY RAMSEY - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 01/04/2012 - About 14 years ago
Identifiers
IN License # 01027935
IN Medicaid 100468160A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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