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Organization

GARY HEALTH DEPARTMENT

Active
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Organization

GARY HEALTH DEPARTMENT

Active
Other names
Maternal Child Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY HAWKINS (EXECUTIVE DIRECTOR)
(219) 882-5565
Entity
Organization

Contact information

Practice address
2200 GRANT ST, SUITE 204, GARY, IN 46404-3439
(219) 887-5146
(219) 884-2756
Mailing address
1145 W 5TH AVE, GARY, IN 46402-1704
(219) 882-5565
(219) 884-2756

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—

Other

Enumeration date
02/16/2007
Last updated
09/11/2025
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