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Southeastern Medical Center S.c.
Specialist in Hammond, Indiana
NPI 1568589802

Southeastern Medical Center S.c. is a Specialist based in Hammond, IN. Southeastern Medical Center S.c. practices in Hammond, IN. The NPI Number for Southeastern Medical Center S.c. is 1568589802 and holds a License No. 01031453A (Indiana).

The current practice location address for Southeastern Medical Center S.c. is 4020 S Calumet Ave, Hammond, IN and can be reached out via phone at 219-933-4889 and via fax at 219-933-3153.

Location: 4020 S Calumet Ave, Hammond, IN, 46325-0704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568589802
Provider Name
Southeastern Medical Center S.c.
Credential
Provider Entity Type
Organization
Address
4020 S Calumet Ave, Hammond, IN, 46325-0704
Phone Number
219-933-4889
Fax Number
219-933-3153
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100214150A 05 IN
0090001298 01 IL BCBS IL
000000105624 01 IN BLUE CROSS OF IN
institution
Provider Business Practice Location Address Details
Address
4020 S Calumet Ave
City
Hammond
State
Indiana
Zip
46320-1129
Phone Number
219-933-4889
Fax Number
219-933-3153
person
Provider Business Mailing Address Details
Address
4020 S Calumet Ave
City
Hammond
State
Indiana
Zip
46320-1129
Phone Number
219-933-4889
Fax Number
219-933-3153
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01031453A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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