REGIONAL HEALTH CLINIC – NPI #1609231927
Clinic/Center

REGIONAL HEALTH CLINIC is an AHC clinic located in HAMMOND, IN. NPPES has assigned the NPI number 1609231927 to REGIONAL HEALTH CLINIC on December 31, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REGIONAL HEALTH CLINIC” is a dba name, the actual legal business name for this organization is SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Jul 01, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REGIONAL HEALTH CLINIC below.

NPI Profile for
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC

NPI Number
1609231927
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC
Doing Business As (dba): REGIONAL HEALTH CLINIC
Primary location
4022 HOHMAN AVE
HAMMOND, IN 46327
Phone: (219) 937-3300 Fax: (219) 803-7252
Mailing address
8400 LOUISIANA ST
MERRILLVILLE, IN 46410-6385
Phone: (219) 757-1924 Fax: (219) 757-1950
Organization Subpart
No
Authorized Official
ROBERT KRUMWIED
CEO
Phone: (219) 736-7183
Updated
Identifiers

Identifiers for REGIONAL HEALTH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIAIN15D2108285
MEDICAIDIN201323280
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.