Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Other names
Regional Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KRUMWEID (CEO)
(219) 757-1928
Entity
Organization
Contact information
Practice address
559 STATE ST, HAMMOND, IN 46320-1533
(219) 803-7252
(219) 937-3300
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
05/08/2014
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