# FORDEM HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639622236
- **Authorized official:** DR. DAVID JOHN FOREIT DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (877) 757-2568

## Contact information

- **Practice address:** 1313 PARK DR, MUNSTER, IN 46321-2634
- **Practice address phone:** (877) 757-2568
- **Mailing address:** 730 45TH AVE, MUNSTER, IN 46321-2818
- **Mailing address phone:** (877) 757-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 02001522 | IN | Yes |

## Other

- **Enumeration date:** 07/31/2016
- **Last updated:** 10/28/2020