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Contact Information

CHILDRENS AND FAMILY HEALTH CLINIC
205 E 86TH CT
MERRILLVILLE, IN46410
 Phone: 219-769-9070
 Fax: 219-769-1758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHILDRENS AND FAMILY HEALTH CLINIC

NPI # 1609899533
LBN Legal business name CHILDRENS AND FAMILY HEALTH CLINIC
Authorized official AZRA SHERIFF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 04/30/2015 - About 11 years ago
Identifiers
IN License # 01032560
IN Medicaid 100212430C
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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