# ST MARGARET MERCY HEALTHCARE CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lowell Family Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841379328
- **Authorized official:** THOMAS GRYZBEK (PRESIDENT)
- **Authorized official phone:** (219) 932-2300

## Contact information

- **Practice address:** 2068 LUCAS PKWY, LOWELL, IN 46356-2169
- **Practice address phone:** (219) 696-8200
- **Practice address fax:** (219) 696-4917
- **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 |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 01/05/2010