# ST MARGARET MERCY HEALTHCARE CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Douglas Park Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558440149
- **Authorized official:** THOMAS GRYZBEK (PRESIDENT)
- **Authorized official phone:** (219) 932-2300

## Contact information

- **Practice address:** 3831 S HOHMAN AVE, HAMMOND, IN 46327-1160
- **Practice address phone:** (219) 931-1960
- **Practice address fax:** (219) 931-1235
- **Mailing address:** PO BOX 1000, DYER, IN 46311-0800
- **Mailing address phone:** (219) 864-2107
- **Mailing address fax:** (219) 864-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 06/23/2010