St Margaret Mercy Healthcare Centers, INC.
Pediatrics in Valparaiso, IN. Organization (NPI-2).
NPI number1285713438
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1285713438
- Entity type
- Organization (NPI-2)
- Legal business name
- St Margaret Mercy Healthcare Centers, INC.
- Organization subpart
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- South Ridge Medical (Doing Business As)
Practice location
2421 Laporte AveValparaiso, IN 46383-6914
Phone 219-462-4167 · Fax 219-462-0426
Mailing address
Po Box 1000Dyer, IN 46311-0800
Phone 219-864-2107 · Fax 219-864-2251
Authorized official
Thomas Gryzbek
President
2199322300
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