Organization
EAST CHICAGO COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE O MITCHELL MHA (CHIEF EXECUTIVE OFFICER)
(219) 392-4900
Entity
Organization
Contact information
Practice address
1313 W. CHICAGO AVENUE, EAST CHICAGO, IN 46312-3316
(219) 397-1196
(219) 392-4981
Mailing address
P.O. BOX 59, EAST CHICAGO, IN 46312-0059
(219) 397-1196
(219) 392-4981
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2006
Last updated
03/10/2011
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