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GENTILE HEALTHCARE P.C. NPI 1356303473


NPI Information

NPI: 1356303473
Provider Name: GENTILE HEALTHCARE , P.C.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1001 MAIN ST
SUITE 2E
DYER, IN
ZIP 46311
Phone: (219) 865-9160
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GENTILE HEALTHCARE , P.C. is a multi-specialty clinic center in Dyer, IN. GENTILE HEALTHCARE , P.C. NPI is 1356303473. The provider is registered as an organization entity type.

The provider's business location address is:

1001 MAIN ST
SUITE 2E
DYER, IN
ZIP 46311-234
Phone: (219) 865-9160
Fax: (219) 865-9251

The provider's authorized official is Anthony Nicholas Gentile .
The authorized official title is President and has the following contact phone number (219) 865-9160.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 11/9/2009.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1100468800AMEDICAIDINDIANA
2H10660MEDICARE UPININDIANA
3217610CMEDICARE ID-TYPE UNSPECIFIEDINDIANA
4036082524MEDICAIDILLINOIS
5F21843MEDICARE UPININDIANA
6217610BMEDICARE ID-TYPE UNSPECIFIEDINDIANA

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
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