| Organization Name: | EAST CHICAGO COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1154381739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DWAYNE O MITCHELL (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1313 W. Chicago Avenue East Chicago |
| State: | IN US |
| Postal Code: | 463123316 |
| Phone Number: | 2193971196 |
| Fax Number: | 2193924981 |
| NPI Enumeration Date: | 03/27/2006 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |