Edgewater Systems for Balanced Living Inc
Doing business as Edgewater Health Lake Street Pediatrics
Federally qualified health center in Gary, IN, Medicare certification number 151119.
Medicare certification
Provider of Services- CCN
- 151119
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Sep 1, 2021
- Last certification
- Sep 1, 2021
- Address
- 426 S Lake St
Gary, IN 46403
(219) 939-6070
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Edgewater Health: Lake Street Pediatrics
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1245907344
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.