Organization Name: | HAMMOND COMMUNITY AMBULATORY CARE CENTER L.L.C. |
NPI Number: | 1346480365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BHARATI V. PATEL (ADMINISTRATOR/MEDICA DIRECTOR) |
Mailing Address: | 2143 Calumet Ave Whiting |
State: | IN US |
Postal Code: | 463941818 |
Phone Number: | 2194731700 |
Fax Number: | 2194731707 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |