SOUTHEASTERN MEDICAL CENTER S.C.


Address: 4020 S Calumet Ave, Hammond, IN 46320-1129
Phone: 2199334889

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 01031453A IN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN BLUE CROSS OF IN 000000105624 01
IL BCBS IL 0090001298 01
IN 100214150A 05

Office Location

Street Address 4020 S CALUMET AVE
City HAMMOND
State IN
Zip Code 46320-1129

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

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

Competitor

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City HAMMOND
Zip Code 46320

Improve Information

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Dataset Information

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.

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