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Organization

KEITH M RAMSEY MEDICAL CORP

Active
Other names
KEITH M RAMSEY MD
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM BLACKMON (ACCOUNTANT)
(219) 545-3423
Entity
Organization

Contact information

Practice address
7863 BROADWAY STE 244, MERRILLVILLE, IN 46410-5553
(773) 991-3602
(219) 962-5058
Mailing address
1512 BURR ST, GARY, IN 46406-2369
(219) 944-3933
(219) 944-2473

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
01036485A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000090423
BLUE CROSS/BLUE SHIELD
IN
01
0090000637
BLUE CROSS/BLUE OF ILLINOIS
IL
01
036068254
ILLINOIS MEDICAID
IL
05
100201350A
IN
Enumeration date
12/09/2008
Last updated
02/20/2024
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