Organization
COMMUNITY HEALTHNET INC
Active
Parent organization
COMMUNITY HEALTHNET INC
Other names
Community HealthNet@MLK
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTHNET INC
Authorized official
JANET SEABROOK MD (CEO)
(219) 880-1190
Entity
Organization
Contact information
Practice address
3503 MARTIN LUTHER KING DR, GARY, IN 46409-1233
(219) 880-1190
(219) 880-0784
Mailing address
1021 W 5TH AVE, GARY, IN 46402-1703
(219) 880-1190
(219) 979-2721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200197530
—
IN
Enumeration date
10/30/2018
Last updated
11/25/2024
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