Pacific Healthcare, Inc. | |
6829-1/2 S. Grand Avenue Hammond IN 46323 | |
(219) 554-0356 | |
Not Available |
Full Name | Pacific Healthcare, Inc. |
---|---|
Speciality | Clinic/center |
Location | 6829-1/2 S. Grand Avenue, Hammond, Indiana |
Authorized Official Name and Position | Joel B. Tan (PRESIDENT DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2195540356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Healthcare, Inc. 6829-1/2 S. Grand Avenue Hammond IN 46323 Ph: (219) 554-0356 | Pacific Healthcare, Inc. 6829-1/2 S. Grand Avenue Hammond IN 46323 Ph: (219) 554-0356 |
NPI Number | 1790863256 |
---|---|
Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790863256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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