Dyer Pediatric Services
LBN: St Margaret Mercy Healthcare Centers Inc
Dyer Pediatric Services is an health care organization with primary practice located at 840 Richard Rd Suite # 4, Dyer IN 46311-1994. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
St Margaret Mercy Healthcare Centers Inc can be contacted via phone (219) 322-7171, or through Gryzbek, Thomas via phone (219) 932-2300.
Contact Information
Primary practice address
840 Richard Rd Suite # 4
Dyer IN 46311-1994
Phone: (219) 322-7171
Fax: (219) 864-2087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1962572354 |
|---|---|
| LBN Legal business name | St Margaret Mercy Healthcare Centers Inc |
| DBA Doing business as | Dyer Pediatric Services |
| Authorized official | Gryzbek, Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jun 23rd, 2008 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962572354 | NPPES |
| Illinois | Other | 0090000854 | BCBS GROUP NUMBER |
| Illinois | MEDICAID | 200159110L | BCBS GROUP NUMBER |
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