Organization
EDGEWATER HEALTH
Active
Organization
EDGEWATER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERRE WOOD (THERAPIST)
(219) 885-4264
Entity
Organization
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
17 W 144TH ST APT 1W, RIVERDALE, IL 60827-2883
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W300-6708-0246
DRIVER'S LICENSE
IL
Enumeration date
03/04/2019
Last updated
03/04/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up