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Contact Information

INDIANA UNIVERSITY NORTHWEST
3400 BROADWAY
GARY, IN46408-1101
 Phone: 219-980-6772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for INDIANA UNIVERSITY NORTHWEST

NPI Number 1912067349
LBN Legal business name INDIANA UNIVERSITY NORTHWEST
Authorized official CINDY ZAK - (CLINIC MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
IN License # 0
IN Medicaid 200082120
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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