SOUTHEASTERN MEDICAL CENTER S.C. (NPI# 1568589802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568589802 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN MEDICAL CENTER S.C. |
Practice Address |
4020 S Calumet Ave Hammond IN 46320-1129 |
Mailing Address |
Po Box 704 Hammond IN 46325-0704 |
Practice Telephone | 2199334889 |
Practice Fax Number | 2199333153 |
Mailing Telephone | 2199334889 |
Mailing Fax Number | 2199333153 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2015-10-13 |
Authorized Official Name | MR. RAJEEV BHAREL (NETWORK ADMINISTRATOR) |
Authorized Official Telephone | 2199334889 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 01031453A | IN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BLUE CROSS OF IN | 000000105624 | 01 |
IL | BCBS IL | 0090001298 | 01 |
IN | 100214150A | 05 |
Street Address |
4020 S CALUMET AVE |
City | HAMMOND |
State | IN |
Zip Code | 46320-1129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
Find all providers in zip 46320 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699089581 | Gastroenterology Anesthesia LLC | Specialist | 16061 Doctors Blvd Ste A, Hammond, LA 70403-1499 | 2010-08-03 |
1861627622 | Susan Butler Brocato | Specialist | 20175 Long Lake Dr, Hammond, LA 70403-0555 | 2009-05-22 |
1295972966 | James Hess Ltd, Apmc | Specialist | 2101 Robin Ave Ste 16, Hammond, LA 70403-5774 | 2009-01-16 |
1639206568 | Sheryl Ann Jones | Specialist | 45439 Live Oak Dr, Hammond, LA 70401-4526 | 2007-02-27 |
1366581084 | Shannan Davis Brown | Specialist | 1232 S Morrison Blvd, Hammond, LA 70403-5702 | 2007-02-06 |
1942389986 | North Oaks Internal Medicine | Specialist | 15744 Medical Arts Dr, Hammond, LA 70403-1446 | 2006-11-02 |
1174543193 | Kimberly S Williams | Specialist | 42286 Veterans Ave, Hammond, LA 70403-1423 | 2006-07-20 |
1871537266 | Brett Joseph Chiasson | Specialist | 1000 J.w. Davis Drive, Hammond, LA 70454 | 2006-06-15 |
1992753545 | Eric Damian Griener | Specialist | 17170 S I 12 Service Rd, Hammond, LA 70403-2408 | 2006-05-05 |
1134121999 | Pervez Mussarat | Specialist | 15784 Medical Arts Dr, Suite A, Hammond, LA 70403-1446 | 2005-08-11 |
Find all providers in HAMMOND |
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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.