Edgewater Health

LBN: Edgewater Health
Edgewater Health is an health care organization with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Edgewater Health can be contacted via phone (219) 885-4264, or through Wood, Pierre via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wood, Pierre
Phone: (219) 885-4264

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1477011930
LBN Legal business name Edgewater Health
DBA Doing business as
Authorized official Wood, Pierre
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2019
Last updated Mar 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477011930 NPPES
Illinois Other W300-6708-0246 DRIVER'S LICENSE

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