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Fordem Health, Llc
Medical Specialty Clinic/Center in Munster, Indiana
NPI 1639622236

Fordem Health, Llc is a Medical Specialty Clinic/Center based in Munster, IN and is specialized in Medical Specialty. Fordem Health, Llc practices in Munster, IN. The NPI Number for Fordem Health, Llc is 1639622236 and holds a License No. 02001522 (Indiana).

The current practice location address for Fordem Health, Llc is 1313 Park Dr, Munster, IN and can be reached out via phone at 877-757-2568.

Location: 1313 Park Dr, Munster, IN, 46321-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639622236
Provider Name
Fordem Health, Llc
Credential
Provider Entity Type
Organization
Address
1313 Park Dr, Munster, IN, 46321-2818
Phone Number
877-757-2568
Fax Number
Provider Enumeration Date
07/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376740647 01 NPI NUMBER
256390C 01 MEDICARE #
institution
Provider Business Practice Location Address Details
Address
1313 Park Dr
City
Munster
State
Indiana
Zip
46321-2634
Phone Number
877-757-2568
Fax Number
person
Provider Business Mailing Address Details
Address
1313 Park Dr
City
Munster
State
Indiana
Zip
46321-2634
Phone Number
877-757-2568
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
02001522 (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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