Organization
EAST CHICAGO COMMUNITY HEALTH CENTER
Active
Parent organization
EAST CHICAGO COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CHICAGO COMMUNITY HEALTH CENTER
Authorized official
MR. DWAYNE MITCHELL (CEO)
(219) 397-1196
Entity
Organization
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO COMMUNITY HEALTH CENTER AT REGIONAL, EAST CHICAGO, IN 46312-0000
(219) 397-1196
(219) 398-1630
Mailing address
PO BOX 59, 1313 WEST CHICAGO AVE, EAST CHICAGO, IN 46312-0000
(219) 397-1196
(219) 398-1630
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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