St Margaret Mercy Healthcare Centers INC
Family Medicine in Schererville, IN. Organization (NPI-2).
NPI number1720157779
StatusActive
Last updated in NPPESJan 5, 2010
Details
- NPI
- 1720157779
- Entity type
- Organization (NPI-2)
- Legal business name
- St Margaret Mercy Healthcare Centers INC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Jan 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – |
Other names
- Omni Physician Suites (Doing Business As)
Practice location
221 Us Highway 41Suite # 1
Schererville, IN 46375-1277
Phone 219-864-3950 · Fax 219-864-3952
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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