COMMUNITY HEALTHNET (NPI# 1497007876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497007876 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHNET |
| Other Organization Name | COMMUNITY HEALTHNET MILLER |
| Practice Address |
1015 N Shelby St Gary IN 46403-1446 |
| Mailing Address |
1021 W 5th Ave Gary IN 46402-1703 |
| Practice Telephone | 2198801190 |
| Mailing Telephone | 2198801190 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | JANET SEABROOK (CEO) |
| Authorized Official Telephone | 2194842442 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community HealthNet Miller | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | COMMUNITY HEALTHNET, INC. | 1021 West 5th Ave., Gary, IN 46402 |
| Street Address |
1015 N SHELBY ST |
| City | GARY |
| State | IN |
| Zip Code | 46403-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659484053 | Life Service Professional Corp | Specialist | 1015 N Shelby St, Gary, IN 46403-1446 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1932494424 | Restore Therapy Services LLC | Physical Therapist | 6100 Miller Avenue, Gary, IN 46403 | 2011-06-13 |
| 1851682587 | Ladwana Retic | Social Worker | 4416 East 6th Avenue, Gary, IN 46403 | 2011-04-28 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1376826867 | Jill Obrien | Pharmacist | 801 S Lake St, Gary, IN 46403 | 2011-09-21 |
| 1932314275 | Charter School of The Dunes | Local Education Agency (LEA) | 860 N Lake St, Gary, IN 46403-1070 | 2007-05-11 |
| 1598980542 | Arc Bridges, Inc | Custodial Care Facility | 7110 Forest Ave, Gary, IN 46403-1201 | 2007-04-16 |
| 1104039510 | Lynn E Gassoway,dds,inc | Clinic/Center | 8412 Maple Ave, Gary, IN 46403-1419 | 2007-05-08 |
| 1053582445 | Jacqueline Bernice Fowler | Psychologist | 8620 Maple Ave, Gary, IN 46403-1423 | 2008-03-13 |
| 1841490901 | Kevin A. Komosa | Social Worker | 8221 Oak Ave, Gary, IN 46403-1477 | 2007-07-18 |
| Find all providers in zip 46403 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861313 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 5th Ave, Gary, IN 46402-1723 | 2020-11-06 |
| 1003371220 | Porter Starke Services Inc | Clinic/Center | Marram Health Center, 3229 Broadway Suite 160, Gary, IN 46409-1040 | 2019-02-01 |
| 1891262762 | Community Healthnet Inc | Clinic/Center | 3503 Martin Luther King Drive, Community Healthnet Inc - East, Gary, IN 46409-1233 | 2018-10-30 |
| 1023485356 | Porter-starke Services Inc. | Clinic/Center | 3229 Broadway Ste 115, Gary, IN 46409-1040 | 2015-08-21 |
| 1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
| 1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
| 1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
| 1407457591 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 3535 Broadway, Gary, IN 46409-1316 | 2020-11-04 |
| 1598316978 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-09-26 |
| 1639578065 | Tug River Health Association, Inc. | Clinic/Center | Rr 103 Supply Street, Gary, WV 24836-0507 | 2014-08-21 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.