institution
Grand Park Surgical Center, Inc
Federally Qualified Health Center (FQHC) in Merrillville, Indiana
NPI 1568525244

Grand Park Surgical Center, Inc is a Federally Qualified Health Center (FQHC) based in Merrillville, IN and is specialized in Federally Qualified Health Center (FQHC). Grand Park Surgical Center, Inc practices in Merrillville, IN. The NPI Number for Grand Park Surgical Center, Inc is 1568525244 and holds a License No. 060062141 (Indiana).

The current practice location address for Grand Park Surgical Center, Inc is 1479 E 84Th Pl, Merrillville, IN and can be reached out via phone at 219-738-2828 and via fax at 219-756-3349.

Location: 1479 E 84Th Pl, Merrillville, IN, 46410-6451
institution
Provider Profile Details
NPI Number
1568525244
Provider Name
Grand Park Surgical Center, Inc
Credential
Provider Entity Type
Organization
Address
1479 E 84Th Pl, Merrillville, IN, 46410-6451
Phone Number
219-738-2828
Fax Number
219-756-3349
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000098072 01 IN BLUECROSSBLUESHIELD
100274590A 05 IN
institution
Provider Business Practice Location Address Details
Address
1479 E 84Th Pl
City
State
Zip
46410-6451
Phone Number
219-738-2828
Fax Number
219-756-3349
person
Provider Business Mailing Address Details
Address
1479 E 84Th Pl
City
State
Zip
46410-6451
Phone Number
219-738-2828
Fax Number
219-756-3349
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
060062141 (Indiana)
Definition
Definition to come...
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