LAKE COUNTY JAIL NPI 1043626443

NPI Information

NPI: 1043626443
Provider Name: LAKE COUNTY JAIL
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 15D2199920

Address:
2293 N MAIN ST
CROWN POINT, IN
ZIP 46307
Phone: (219) 648-6300
Get Directions

LAKE COUNTY JAIL is a public health or welfare in Crown Point, IN. LAKE COUNTY JAIL NPI is 1043626443. The provider is registered as an organization entity type.

The provider's business location address is:

2293 N MAIN ST
CROWN POINT, IN
ZIP 46307-854
Phone: (219) 648-6300
Fax: (219) 755-3427

The provider's authorized official is William Wallace Forgey .
The authorized official title is Medical Director and has the following contact phone number (219) 755-3385.

The CLIA number assigned to this NPI record is 15D2199920 - other - satellite testing site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.

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	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »