CHIKARE HEALTH SERVICES INC NPI 1043375934

NPI Information

NPI: 1043375934
Provider Name: CHIKARE HEALTH SERVICES INC

Doing Business As: IMMANUEL FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
915 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 397-6000
Get Directions

CHIKARE HEALTH SERVICES INC is a primary care clinic center in East Chicago, IN. CHIKARE HEALTH SERVICES INC NPI is 1043375934. The provider is registered as an organization entity type.
The provider Is Doing Business As Immanuel Family Health Center.

The provider's business location address is:

915 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 397-6000
Fax: (219) 397-6358

The provider's authorized official is Kanayo K Odeluga .
The authorized official title is Owner/md and has the following contact phone number (219) 397-6000.

The CLIA number assigned to this NPI record is 15D0956269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 6/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CG2552	OTHER		PALMETO GBA MEDICA
2	15D0956269	OTHER	INDIANA	CLIA
3	200210560A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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